Clinic
Wakefield Pediatrics & Adolescent Medicine,p.A.
Wakefield Pediatrics & Adolescent Medicine,p.A. was paid $3.63M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoWAKEFIELD PEDIATRICS & ADOLESCENT MEDICINE,P.A.
RALEIGH, NC 27614
RALEIGH, NC 27614
33aNPI1023190915assigned 10/19/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$3.63M
24GClaims169,484
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#10 of 116
Median peer was paid$226K
This provider vs. median16×
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 | 10,408 | $350K | |
| 2019 | 9,926 | $435K | |
| 2020 | 9,880 | $416K | |
| 2021 | 21,821 | $504K | |
| 2022 | 41,776 | $738K | |
| 2023 | 37,617 | $611K | |
| 2024incomplete | 38,056 | $581K |
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 | 26% | 14,214 | 11,570 | $933K |
| 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 | 17% | 6,650 | 5,554 | $631K |
| 99199 | Unlisted special service, procedure or report | 15% | 91,358 | 55,059 | $541K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.0% | 2,780 | 2,482 | $290K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 2,622 | 2,354 | $247K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 5,036 | 4,372 | $198K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 1,869 | 1,702 | $180K |
| 99401 | 3.7% | 4,063 | 3,043 | $135K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 989 | 859 | $95K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 1,859 | 1,594 | $72K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 2,681 | 2,292 | $49K |
| 96127 | 1.3% | 7,548 | 6,471 | $49K |
42 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,250 | $30K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 707 | $24K |
| 94010 | <1% | 881 | $21K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,461 | $21K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 294 | $14K |
| 69210 | <1% | 369 | $13K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 995 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 96 | $12K |
| D1206 | Topical application of fluoride varnish | <1% | 707 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 85 | $9K |
| 90620 | <1% | 470 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 231 | $8K |
| 90734 | <1% | 503 | $7K | |
| 90651 | <1% | 232 | $5K | |
| 90480 | <1% | 115 | $4K | |
| 90688 | <1% | 1,244 | $4K | |
| 92551 | <1% | 5,422 | $3K | |
| 87807 | <1% | 112 | $2K | |
| 90686 | <1% | 2,309 | $1K | |
| 99173 | <1% | 5,625 | $806.25 | |
| 96161 | <1% | 235 | $698.11 | |
| 90474 | <1% | 26 | $531.70 | |
| 85018 | <1% | 146 | $406.86 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 12 | $375.60 |
| 94664 | <1% | 30 | $333.90 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 30 | $315.58 |
| 81002 | <1% | 125 | $306.99 | |
| 90656 | <1% | 346 | $265.91 | |
| 99058 | <1% | 16 | $247.10 | |
| 90715 | <1% | 25 | $86.50 | |
| 99442 | <1% | 23 | $56.69 | |
| 90680 | 0% | 160 | $0.00 | |
| 90744 | 0% | 29 | $0.00 | |
| 90698 | 0% | 211 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 99441 | 0% | 33 | $0.00 | |
| 91319 | 0% | 17 | $0.00 | |
| 90670 | 0% | 657 | $0.00 | |
| 90649 | 0% | 360 | $0.00 | |
| 90633 | 0% | 75 | $0.00 | |
| 90687 | 0% | 118 | $0.00 | |
| 91320 | 0% | 21 | $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 officialSEVILLA, MILTON-JESUS (PRESIDENT)