Physician
Choice Pediatrix PA
Choice Pediatrix PA was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoCHOICE PEDIATRIX PA
ROCKINGHAM, NC 28379
ROCKINGHAM, NC 28379
33aNPI1942319595assigned 08/29/2006
33bProvider typePediatrics Physician
28Total paid$1.97M
24GClaims96,970
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#160 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 | 6,906 | $187K | |
| 2019 | 7,704 | $277K | |
| 2020 | 6,952 | $239K | |
| 2021 | 13,209 | $315K | |
| 2022 | 21,410 | $338K | |
| 2023 | 19,465 | $315K | |
| 2024incomplete | 21,324 | $302K |
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 | 30% | 9,941 | 7,203 | $596K |
| 99199 | Unlisted special service, procedure or report | 14% | 45,897 | 28,425 | $270K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 1,773 | 1,517 | $158K |
| 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 | 7.6% | 1,639 | 1,379 | $150K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.6% | 3,364 | 2,727 | $131K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 1,444 | 1,222 | $130K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.8% | 2,001 | 1,694 | $95K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 895 | 785 | $93K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.3% | 4,635 | 3,884 | $84K |
| 97802 | 2.4% | 3,083 | 2,635 | $47K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 492 | 447 | $44K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.9% | 5,073 | 3,928 | $38K |
39 more codes
| D0145 | Oral evaluation for a patient under three years of age | 1.7% | 1,050 | $34K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,682 | $21K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 506 | $18K |
| D1206 | Topical application of fluoride varnish | <1% | 1,050 | $15K |
| 99408 | <1% | 618 | $14K | |
| 96127 | <1% | 2,954 | $11K | |
| 90480 | <1% | 103 | $4K | |
| 90651 | <1% | 119 | $3K | |
| 99401 | <1% | 114 | $3K | |
| 0072A | <1% | 46 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 211 | $3K |
| 0071A | <1% | 41 | $3K | |
| 99173 | <1% | 3,046 | $2K | |
| 96160 | <1% | 667 | $2K | |
| 90474 | <1% | 59 | $1K | |
| 96161 | <1% | 227 | $837.08 | |
| 90686 | <1% | 1,258 | $621.54 | |
| 90756 | <1% | 21 | $381.60 | |
| 90734 | <1% | 13 | $375.60 | |
| 90688 | <1% | 804 | $138.54 | |
| 90715 | <1% | 13 | $129.75 | |
| 90685 | <1% | 226 | $1.00 | |
| 90656 | <1% | 76 | $0.30 | |
| 91320 | <1% | 17 | $0.02 | |
| 91319 | <1% | 57 | $0.01 | |
| 91318 | <1% | 21 | $0.01 | |
| 90670 | <1% | 397 | $0.01 | |
| 90700 | <1% | 628 | $0.01 | |
| 91307 | 0% | 87 | $0.00 | |
| 90647 | 0% | 83 | $0.00 | |
| 90716 | 0% | 28 | $0.00 | |
| 90680 | 0% | 59 | $0.00 | |
| 96156 | 0% | 13 | $0.00 | |
| 90744 | 0% | 27 | $0.00 | |
| 90619 | 0% | 12 | $0.00 | |
| 90713 | 0% | 310 | $0.00 | |
| 99072 | 0% | 46 | $0.00 | |
| 90707 | 0% | 28 | $0.00 | |
| 90633 | 0% | 16 | $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 officialEGBE, PATRICK (PRESIDENT)