Physician
Northlake Pediatric Care PA
Northlake Pediatric Care PA was paid $2.59M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoNORTHLAKE PEDIATRIC CARE PA
STATESVILLE, NC 28625
STATESVILLE, NC 28625
33aNPI1083729701assigned 08/20/2006
33bProvider typePediatrics Physician
28Total paid$2.59M
24GClaims118,589
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#135 of 433
Median peer was paid$942K
This provider vs. median2.8×
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 | 7,194 | $252K | |
| 2019 | 9,107 | $376K | |
| 2020 | 6,099 | $265K | |
| 2021 | 15,976 | $397K | |
| 2022 | 29,382 | $479K | |
| 2023 | 25,471 | $433K | |
| 2024incomplete | 25,360 | $392K |
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 | 31% | 8,493 | 6,964 | $798K |
| 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% | 10,363 | 7,866 | $671K |
| 99199 | Unlisted special service, procedure or report | 14% | 63,730 | 41,041 | $362K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 1,242 | 1,096 | $117K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 1,174 | 1,010 | $108K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 5,510 | 4,416 | $100K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 856 | 694 | $78K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.6% | 2,375 | 1,936 | $69K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 618 | 515 | $63K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 878 | 639 | $31K |
| 87428 | 1.1% | 460 | 420 | $28K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 2,028 | 804 | $27K |
34 more codes
| D0145 | Oral evaluation for a patient under three years of age | <1% | 715 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,705 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,210 | $16K |
| 96127 | <1% | 3,939 | $16K | |
| 99442 | <1% | 228 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 272 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 84 | $10K |
| D1206 | Topical application of fluoride varnish | <1% | 715 | $10K |
| 99401 | <1% | 276 | $9K | |
| 90651 | <1% | 179 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 296 | $3K |
| 90686 | <1% | 2,097 | $2K | |
| 90734 | <1% | 58 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 34 | $1K |
| 92551 | <1% | 3,187 | $1K | |
| 85018 | <1% | 467 | $826.32 | |
| 90474 | <1% | 41 | $797.55 | |
| 83655 | <1% | 58 | $736.89 | |
| 99173 | <1% | 3,472 | $684.00 | |
| 80061 | Lipid panel | <1% | 37 | $538.32 |
| 96161 | <1% | 349 | $485.24 | |
| 90619 | <1% | 68 | $476.02 | |
| 69210 | <1% | 15 | $466.96 | |
| 99441 | <1% | 13 | $407.16 | |
| 90670 | <1% | 482 | $232.45 | |
| 90715 | <1% | 35 | $210.69 | |
| 90698 | <1% | 214 | $108.07 | |
| 90633 | <1% | 180 | $32.22 | |
| 90677 | 0% | 62 | $0.00 | |
| 90744 | 0% | 69 | $0.00 | |
| 90680 | 0% | 55 | $0.00 | |
| 90696 | 0% | 30 | $0.00 | |
| 90710 | 0% | 196 | $0.00 | |
| 90685 | 0% | 24 | $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 officialBORJA, MICHAEL (OWNER)