Physician
Carmel Pediatrics, PA
Carmel Pediatrics, PA was paid $2.83M by Medicaid between Jan 2018 and Jul 2024, across 68 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoCARMEL PEDIATRICS, PA
CHARLOTTE, NC 28277
CHARLOTTE, NC 28277
33aNPI1932438686assigned 12/09/2009
33bProvider typePediatrics Physician
28Total paid$2.83M
24GClaims135,450
24DCodes billed68
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#127 of 433
Median peer was paid$942K
This provider vs. median3.0×
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 | 12,016 | $325K | |
| 2019 | 9,898 | $369K | |
| 2020 | 9,193 | $385K | |
| 2021 | 22,467 | $553K | |
| 2022 | 35,239 | $614K | |
| 2023 | 34,369 | $495K | |
| 2024incomplete | 12,268 | $90K |
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 | 27% | 8,418 | 6,622 | $765K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 6,708 | 5,340 | $415K |
| 99199 | Unlisted special service, procedure or report | 13% | 67,289 | 40,747 | $379K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 2,141 | 1,774 | $188K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 2,029 | 1,771 | $188K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.3% | 2,670 | 2,261 | $149K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.4% | 6,946 | 5,694 | $124K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 1,107 | 958 | $96K |
| 99401 | 3.4% | 3,282 | 2,655 | $95K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 976 | 766 | $90K |
| 97802 | 2.5% | 5,346 | 4,429 | $72K | |
| 99058 | 2.2% | 3,927 | 3,271 | $61K |
56 more codes
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 1,250 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 720 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,402 | $26K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 516 | $17K |
| D1206 | Topical application of fluoride varnish | <1% | 1,270 | $17K |
| 96127 | <1% | 3,600 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 829 | $10K |
| 36410 | <1% | 638 | $8K | |
| 0001A | <1% | 186 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 568 | $7K |
| 0002A | <1% | 209 | $7K | |
| 0072A | <1% | 111 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 41 | $4K |
| 99383 | <1% | 33 | $3K | |
| 0071A | <1% | 82 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 22 | $2K |
| 0073A | <1% | 39 | $2K | |
| 0003A | <1% | 39 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 154 | $1K |
| 0081A | <1% | 19 | $1K | |
| 99173 | <1% | 1,947 | $947.92 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 334 | $873.83 |
| 85018 | <1% | 296 | $505.16 | |
| 85014 | <1% | 295 | $505.16 | |
| 96161 | <1% | 420 | $489.30 | |
| 83718 | <1% | 63 | $474.70 | |
| 83655 | <1% | 27 | $253.81 | |
| 82465 | <1% | 61 | $241.20 | |
| 92551 | <1% | 843 | $220.50 | |
| 36406 | <1% | 12 | $129.00 | |
| 81003 | <1% | 13 | $30.47 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 146 | $6.55 |
| 90716 | 0% | 131 | $0.00 | |
| 90686 | 0% | 3,044 | $0.00 | |
| 90651 | 0% | 264 | $0.00 | |
| 90688 | 0% | 28 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 310 | $0.00 |
| 90620 | 0% | 271 | $0.00 | |
| 91305 | 0% | 64 | $0.00 | |
| 90680 | 0% | 82 | $0.00 | |
| 91307 | 0% | 518 | $0.00 | |
| 90696 | 0% | 14 | $0.00 | |
| 90619 | 0% | 52 | $0.00 | |
| 90674 | 0% | 171 | $0.00 | |
| 90656 | 0% | 132 | $0.00 | |
| 91300 | 0% | 211 | $0.00 | |
| 90633 | 0% | 255 | $0.00 | |
| 90670 | 0% | 468 | $0.00 | |
| 90707 | 0% | 76 | $0.00 | |
| 90685 | 0% | 104 | $0.00 | |
| 90648 | 0% | 26 | $0.00 | |
| 90756 | 0% | 47 | $0.00 | |
| 90734 | 0% | 55 | $0.00 | |
| 91308 | 0% | 52 | $0.00 | |
| 90715 | 0% | 36 | $0.00 | |
| 90655 | 0% | 15 | $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 officialDICKINSON, ADA (PRESIDENT OF CARMEL PEDIATRICS, PA)
| Provider | Location | Paid |
|---|---|---|
| Healing Through Art | Fort Wayne, IN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.