Mountain Area Pediatric Associates, P.A.

Mountain Area Pediatric Associates, P.A. was paid $12.38M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoMOUNTAIN AREA PEDIATRIC ASSOCIATES, P.A.
ASHEVILLE, NC 28805

33aNPI1164470134assigned 05/04/2006

33bProvider typePediatrics Physician

28Total paid$12.38M

24GClaims659,126

24DCodes billed66

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#22 of 433

Median peer was paid$942K

This provider vs. median13×

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	48,721	$1.16M
2019	49,873	$1.46M
2020	34,847	$1.15M
2021	78,433	$1.87M
2022	138,361	$2.30M
2023	153,232	$2.51M
2024incomplete	155,659	$1.92M

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	20%	39,347	33,104	$2.49M
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	19%	23,981	20,167	$2.30M
99199	Unlisted special service, procedure or report	12%	329,655	159,455	$1.54M
90460	Immunization administration through 18 years of age via any route, first or only component	6.6%	19,482	16,929	$820K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.1%	8,318	6,862	$749K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.5%	7,218	6,283	$684K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.5%	7,166	6,348	$677K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.8%	3,409	2,973	$346K
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	2.5%	11,104	9,387	$315K
99050		2.5%	12,190	10,951	$304K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	2.4%	10,625	9,058	$300K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	2.4%	2,269	1,912	$297K

54 more codes

87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	1.8%	1,691	$221K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.4%	4,702	$173K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.3%	17,497	$155K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.1%	14,373	$140K
99401		<1%	2,907	$104K
87428		<1%	1,698	$102K
D0145	Oral evaluation for a patient under three years of age	<1%	2,748	$94K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	9,277	$92K
96127		<1%	17,834	$84K
87276		<1%	3,823	$51K
87275		<1%	3,814	$51K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	2,499	$50K
80061	Lipid panel	<1%	2,765	$42K
D1206	Topical application of fluoride varnish	<1%	2,686	$41K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	617	$30K
87081		<1%	3,597	$24K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	581	$21K
81003		<1%	7,521	$12K
96161		<1%	3,686	$12K
90651		<1%	216	$9K
99215	Doctor's office visit, returning patient (complex)	<1%	49	$7K
99173		<1%	8,406	$5K
90688		<1%	1,884	$4K
87086	Culture, bacterial; quantitative colony count, urine	<1%	450	$4K
90686		<1%	3,162	$4K
83655		<1%	260	$4K
90734		<1%	246	$3K
94760		<1%	33,933	$2K
0072A		<1%	50	$2K
0071A		<1%	57	$2K
G0315	Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)	<1%	70	$2K
G0312	Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)	<1%	58	$2K
96160		<1%	567	$1K
36415	Collection of venous blood by venipuncture	<1%	321	$847.61
87634		<1%	26	$421.32
82962		<1%	145	$383.79
90677		<1%	438	$269.38
90633		<1%	319	$221.03
36416		<1%	12,790	$200.14
92551		<1%	343	$188.20
90715		<1%	29	$77.86
90661		<1%	439	$37.10
90674		<1%	790	$30.31
90723		<1%	902	$0.14
90680		<1%	714	$0.02
90670		<1%	3,160	$0.02
90647		<1%	925	$0.01
99000		0%	2,524	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	1,092	$0.00
99174		0%	2,645	$0.00
3074F		0%	1,299	$0.00
90696		0%	12	$0.00
3078F		0%	1,260	$0.00
90687		0%	465	$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 officialSTEUBER, JENNIFER (PRACTICE MANAGER)