Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

CHILDREN'S HEALTH OF CAROLINA, PA

Pediatrics

LUMBERTON, North Carolina

NPI: 1598729014

Risk Tier

Low

Total Paid

$89.5M

$89,466,018

Total Claims

7.3M

Beneficiaries

6.1M

Avg Cost/Claim

$12.33

No statistical risk flags detected for this provider.

Advanced Detection Signals

Billing Velocity

3927.0 claims per working day — may exceed physically possible volume for a single provider.

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024