Clinic
Apex Pediatric and Adolescent Clinic,p.A
Apex Pediatric and Adolescent Clinic,p.A was paid $364K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoAPEX PEDIATRIC AND ADOLESCENT CLINIC,P.A
CARY, NC 27518
CARY, NC 27518
33aNPI1083866370assigned 10/17/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$364K
24GClaims21,434
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#47 of 116
Median peer was paid$226K
This provider vs. median1.6×
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 | 1,411 | $29K | |
| 2019 | 1,146 | $42K | |
| 2020 | 1,112 | $26K | |
| 2021 | 3,181 | $52K | |
| 2022 | 5,194 | $82K | |
| 2023 | 4,780 | $72K | |
| 2024incomplete | 4,610 | $61K |
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 | 45% | 2,669 | 1,971 | $165K |
| 99199 | Unlisted special service, procedure or report | 18% | 11,265 | 6,853 | $64K |
| 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 | 12% | 521 | 419 | $45K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.3% | 1,710 | 1,391 | $30K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.7% | 2,269 | 1,761 | $17K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.3% | 427 | 358 | $12K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.8% | 318 | 186 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 98 | 78 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 38 | 32 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 188 | 82 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16 | 12 | $1K |
| 0072A | <1% | 19 | 13 | $916.28 |
11 more codes
| 92551 | <1% | 236 | $795.43 | |
| 0071A | <1% | 14 | $780.00 | |
| 90686 | <1% | 461 | $659.24 | |
| 99173 | <1% | 1,063 | $603.85 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $422.50 |
| 96127 | <1% | 14 | $59.71 | |
| 90674 | 0% | 18 | $0.00 | |
| 91307 | 0% | 33 | $0.00 | |
| 90661 | 0% | 13 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 90685 | 0% | 18 | $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 officialDOMMARAJU, SARATH (PRESIDENT)