Physician
Children's Health of Carolina, PA
Children's Health of Carolina, PA was paid $7.66M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoCHILDREN'S HEALTH OF CAROLINA, PA
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1932353208assigned 11/12/2008
33bProvider typePediatrics Physician
28Total paid$7.66M
24GClaims452,327
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#55 of 433
Median peer was paid$942K
This provider vs. median8.1×
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 | 26,962 | $678K | |
| 2019 | 27,171 | $830K | |
| 2020 | 17,735 | $592K | |
| 2021 | 57,270 | $1.17M | |
| 2022 | 93,252 | $1.42M | |
| 2023 | 123,337 | $1.56M | |
| 2024incomplete | 106,600 | $1.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 31,394 | 24,331 | $1.76M |
| 99199 | Unlisted special service, procedure or report | 21% | 251,460 | 125,918 | $1.58M |
| 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 | 15% | 13,195 | 11,006 | $1.13M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 6,209 | 5,243 | $518K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 6,203 | 4,948 | $510K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 4,028 | 3,420 | $347K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 9,911 | 8,260 | $336K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.9% | 16,786 | 14,165 | $301K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 3.3% | 7,327 | 4,838 | $252K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 2,339 | 1,972 | $226K |
| 87400 | 1.7% | 7,418 | 4,812 | $132K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,596 | 2,142 | $88K |
55 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,622 | $68K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,997 | $61K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,428 | $52K |
| 99401 | <1% | 1,810 | $46K | |
| 96127 | <1% | 8,738 | $33K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,997 | $27K |
| 99460 | <1% | 302 | $23K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 350 | $22K |
| 90474 | <1% | 886 | $16K | |
| 96161 | <1% | 4,461 | $14K | |
| 99462 | <1% | 399 | $13K | |
| 83655 | <1% | 1,118 | $13K | |
| 85018 | <1% | 12,920 | $12K | |
| 92551 | <1% | 9,642 | $12K | |
| 99383 | <1% | 102 | $11K | |
| 99051 | <1% | 331 | $8K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 49 | $7K |
| 90651 | <1% | 832 | $7K | |
| 87807 | <1% | 535 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 51 | $5K |
| 80061 | Lipid panel | <1% | 296 | $5K |
| 99382 | <1% | 35 | $3K | |
| 90734 | <1% | 687 | $3K | |
| 88720 | <1% | 526 | $3K | |
| 90686 | <1% | 3,956 | $2K | |
| 0071A | <1% | 36 | $2K | |
| 90620 | <1% | 144 | $2K | |
| 94664 | <1% | 141 | $2K | |
| 99173 | <1% | 10,485 | $1K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 35 | $988.81 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $965.32 |
| 90677 | <1% | 514 | $268.63 | |
| 90723 | <1% | 2,914 | $194.08 | |
| 90715 | <1% | 146 | $174.15 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 14 | $124.54 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $122.16 |
| A7006 | Administration set, with small volume filtered pneumatic nebulizer | <1% | 17 | $120.64 |
| 99070 | <1% | 12 | $113.04 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 37 | $83.70 |
| 86308 | <1% | 14 | $82.94 | |
| 94760 | <1% | 2,372 | $74.92 | |
| 81003 | <1% | 33 | $49.38 | |
| 90647 | <1% | 2,771 | $29.83 | |
| 90656 | <1% | 160 | $0.21 | |
| 90633 | 0% | 1,574 | $0.00 | |
| 90670 | 0% | 3,664 | $0.00 | |
| 90707 | 0% | 232 | $0.00 | |
| 90681 | 0% | 903 | $0.00 | |
| 90685 | 0% | 156 | $0.00 | |
| 90700 | 0% | 168 | $0.00 | |
| 90710 | 0% | 229 | $0.00 | |
| 99000 | 0% | 1,099 | $0.00 | |
| 91307 | 0% | 86 | $0.00 | |
| 90716 | 0% | 198 | $0.00 | |
| 90696 | 0% | 212 | $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 officialSEALY, LAURA (BUSINESS MANAGER)
Parent organizationCHILDREN'S HEALTH OF CAROLINA
| Provider | Location | Paid |
|---|---|---|
| Children's Health of Carolina, PA | Lumberton, NC | $89.47M |
| Children's Health of Carolina, PA | Pembroke, NC | $18.18M |
| Children's Health of Carolina, PA | Raeford, NC | $4.98M |
| Children's Health of Carolina, PA | Fairmont, NC | $103K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.