Physician
Washington Pediatrics
Washington Pediatrics was paid $12.79M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoWASHINGTON PEDIATRICS
WASHINGTON, NC 27889
WASHINGTON, NC 27889
33aNPI1144332404assigned 08/31/2006
33bProvider typePediatrics Physician
28Total paid$12.79M
24GClaims773,458
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#21 of 433
Median peer was paid$942K
This provider vs. median14×
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 | 50,652 | $1.19M | |
| 2019 | 58,965 | $1.47M | |
| 2020 | 46,258 | $1.37M | |
| 2021 | 88,429 | $1.87M | |
| 2022 | 172,316 | $2.30M | |
| 2023 | 181,496 | $2.42M | |
| 2024incomplete | 175,342 | $2.17M |
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 | 30% | 44,066 | 37,364 | $3.81M |
| 99199 | Unlisted special service, procedure or report | 15% | 408,393 | 202,222 | $1.97M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 26,459 | 23,536 | $1.58M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 9,036 | 7,718 | $742K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 8,201 | 6,682 | $649K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 7,788 | 6,413 | $633K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.0% | 17,125 | 14,200 | $515K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.9% | 28,186 | 23,537 | $503K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 4,772 | 3,918 | $430K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.8% | 5,075 | 4,409 | $236K |
| 92587 | 1.8% | 10,357 | 8,228 | $225K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.7% | 29,249 | 23,875 | $213K |
56 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 15,348 | $201K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 10,811 | $142K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 16,555 | $137K |
| D0145 | Oral evaluation for a patient under three years of age | 1.0% | 4,330 | $131K |
| 87070 | 1.0% | 13,129 | $129K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 2,262 | $89K |
| D1206 | Topical application of fluoride varnish | <1% | 4,309 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,353 | $52K |
| 99051 | <1% | 1,443 | $35K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,185 | $32K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 868 | $29K |
| 81002 | <1% | 16,412 | $23K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,535 | $23K |
| 92551 | <1% | 15,678 | $19K | |
| E0570 | Nebulizer, with compressor | <1% | 158 | $19K |
| 90651 | <1% | 1,425 | $17K | |
| 83655 | <1% | 1,713 | $17K | |
| 99173 | <1% | 21,597 | $14K | |
| 80061 | Lipid panel | <1% | 968 | $14K |
| 88720 | <1% | 2,159 | $12K | |
| 96127 | <1% | 3,180 | $12K | |
| 99441 | <1% | 448 | $10K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 86 | $10K |
| 99070 | <1% | 1,470 | $10K | |
| 96161 | <1% | 1,872 | $7K | |
| 87420 | <1% | 547 | $7K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 58 | $6K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 589 | $6K |
| 90734 | <1% | 536 | $5K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 482 | $4K |
| 69210 | <1% | 121 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 473 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 90688 | <1% | 6,377 | $2K | |
| 90619 | <1% | 499 | $1K | |
| 87807 | <1% | 44 | $592.85 | |
| 90715 | <1% | 166 | $345.16 | |
| 81025 | <1% | 33 | $241.80 | |
| 90620 | <1% | 237 | $225.00 | |
| 96380 | <1% | 13 | $222.82 | |
| 90698 | <1% | 5,651 | $216.28 | |
| 95117 | <1% | 21 | $186.81 | |
| 90633 | <1% | 1,753 | $95.92 | |
| 90686 | <1% | 856 | $88.70 | |
| 81003 | <1% | 64 | $16.62 | |
| 90671 | <1% | 1,266 | $0.01 | |
| 90670 | 0% | 4,209 | $0.00 | |
| 90685 | 0% | 280 | $0.00 | |
| 90687 | 0% | 1,249 | $0.00 | |
| 90710 | 0% | 1,650 | $0.00 | |
| 99072 | 0% | 323 | $0.00 | |
| 90744 | 0% | 1,553 | $0.00 | |
| 90680 | 0% | 2,466 | $0.00 | |
| 90696 | 0% | 147 | $0.00 | |
| 99000 | 0% | 350 | $0.00 | |
| 90656 | 0% | 429 | $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 officialCOOK, RUSSEL (PRESIDENT)