Physician
Martin Pediatric Clinic PLLC
Martin Pediatric Clinic PLLC was paid $1.96M by Medicaid between Jan 2018 and Nov 2020, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoMARTIN PEDIATRIC CLINIC PLLC
WILLIAMSTON, NC 27892
WILLIAMSTON, NC 27892
33aNPI1922552892assigned 08/09/2016
33bProvider typePediatrics Physician
28Total paid$1.96M
24GClaims50,532
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#161 of 433
Median peer was paid$942K
This provider vs. median2.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 16,691 | $603K | |
| 2019 | 17,690 | $792K | |
| 2020 | 16,151 | $566K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 51% | 11,505 | 9,420 | $999K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,370 | 2,180 | $207K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.9% | 2,116 | 1,971 | $175K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 7.0% | 3,307 | 2,996 | $137K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 1,467 | 1,277 | $120K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.0% | 6,504 | 5,824 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 1,065 | 933 | $63K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 442 | 372 | $38K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 3,024 | 2,839 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 2,217 | 961 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 278 | 241 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 95 | 79 | $10K |
29 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 653 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 766 | $7K |
| 99051 | <1% | 271 | $6K | |
| 81002 | <1% | 1,508 | $2K | |
| 86747 | <1% | 94 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 29 | $1K |
| 87084 | <1% | 101 | $904.66 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 52 | $427.56 |
| 94664 | <1% | 32 | $312.72 | |
| 92551 | <1% | 999 | $207.32 | |
| 90688 | <1% | 1,753 | $145.50 | |
| 99173 | <1% | 979 | $4.00 | |
| 90647 | 0% | 1,356 | $0.00 | |
| 90651 | 0% | 282 | $0.00 | |
| 90680 | 0% | 1,203 | $0.00 | |
| 90698 | 0% | 15 | $0.00 | |
| 90723 | 0% | 1,036 | $0.00 | |
| 90686 | 0% | 479 | $0.00 | |
| 99000 | 0% | 176 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90734 | 0% | 84 | $0.00 | |
| 90687 | 0% | 953 | $0.00 | |
| 90633 | 0% | 632 | $0.00 | |
| 90710 | 0% | 541 | $0.00 | |
| 90685 | 0% | 161 | $0.00 | |
| 90670 | 0% | 1,842 | $0.00 | |
| 90715 | 0% | 72 | $0.00 | |
| 90700 | 0% | 16 | $0.00 | |
| 90621 | 0% | 43 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDOVER, CARL (PHYSICIAN)