Physician
Onslow Pediatric Associates, P.A.
Onslow Pediatric Associates, P.A. was paid $10.06M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoONSLOW PEDIATRIC ASSOCIATES, P.A.
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
33aNPI1073572822assigned 03/21/2006
33bProvider typePediatrics Physician
28Total paid$10.06M
24GClaims595,695
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#32 of 433
Median peer was paid$942K
This provider vs. median11×
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 | 34,521 | $1.04M | |
| 2019 | 33,913 | $1.09M | |
| 2020 | 31,237 | $987K | |
| 2021 | 67,396 | $1.48M | |
| 2022 | 134,295 | $1.96M | |
| 2023 | 140,336 | $1.79M | |
| 2024incomplete | 153,997 | $1.71M |
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 | 25% | 29,556 | 26,135 | $2.49M |
| 99199 | Unlisted special service, procedure or report | 16% | 336,880 | 163,851 | $1.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 24,700 | 20,124 | $1.40M |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 11% | 8,610 | 6,894 | $1.09M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 7,412 | 6,807 | $618K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 6,978 | 6,280 | $583K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 4,954 | 4,360 | $396K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.6% | 9,742 | 8,803 | $367K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 16,719 | 15,146 | $333K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 3,230 | 2,879 | $287K |
| 96127 | 1.2% | 25,485 | 22,013 | $122K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 11,449 | 10,552 | $107K |
51 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 3,401 | $95K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 2,675 | $90K |
| 92552 | <1% | 5,994 | $52K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,157 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,166 | $40K |
| D1206 | Topical application of fluoride varnish | <1% | 2,688 | $40K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 257 | $31K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 617 | $30K |
| 90474 | <1% | 1,465 | $29K | |
| 96160 | <1% | 7,146 | $25K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,469 | $19K |
| 96161 | <1% | 5,153 | $18K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 299 | $17K |
| 83655 | <1% | 1,213 | $17K | |
| 87428 | <1% | 206 | $11K | |
| 85018 | <1% | 5,631 | $9K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 264 | $9K |
| 80061 | Lipid panel | <1% | 573 | $9K |
| 94010 | <1% | 284 | $7K | |
| 99173 | <1% | 14,714 | $6K | |
| 99177 | <1% | 8,695 | $6K | |
| 90686 | <1% | 3,884 | $4K | |
| 99401 | <1% | 214 | $3K | |
| 90651 | <1% | 214 | $3K | |
| 90734 | <1% | 182 | $2K | |
| 99381 | <1% | 20 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 13,766 | $1K |
| 94664 | <1% | 95 | $1K | |
| 92551 | <1% | 5,300 | $814.28 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 226 | $520.38 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 41 | $419.41 |
| 99051 | <1% | 14 | $370.72 | |
| 94644 | <1% | 12 | $313.44 | |
| 90661 | <1% | 203 | $294.29 | |
| 90671 | <1% | 618 | $229.08 | |
| 90716 | <1% | 842 | $124.91 | |
| 94760 | <1% | 1,132 | $93.15 | |
| 81025 | <1% | 13 | $85.80 | |
| 90674 | <1% | 442 | $73.69 | |
| 90633 | <1% | 855 | $33.11 | |
| 36416 | <1% | 4,228 | $12.56 | |
| 90723 | <1% | 2,249 | $0.18 | |
| 90647 | <1% | 2,235 | $0.15 | |
| 90680 | <1% | 1,584 | $0.13 | |
| 90670 | <1% | 3,124 | $0.02 | |
| 90707 | 0% | 837 | $0.00 | |
| 90700 | 0% | 30 | $0.00 | |
| 90685 | 0% | 74 | $0.00 | |
| 99072 | 0% | 389 | $0.00 | |
| 90696 | 0% | 30 | $0.00 | |
| 99000 | 0% | 60 | $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 officialGANT, JAMES (PRESIDENT)