Pediatric Surgical Associates, P.A.

Pediatric Surgical Associates, P.A. was paid $291K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99255, — 30% of everything it billed.

33Billing provider infoPEDIATRIC SURGICAL ASSOCIATES, P.A.
CHARLOTTE, NC 28207

33aNPI1174640163assigned 03/23/2007

33bProvider typePediatric Surgery Physician

28Total paid$291K

24GClaims3,321

24DCodes billed9

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Pediatric Surgery Physician providers in North Carolina

Rank by total paid#1 of 7

Median peer was paid$53K

This provider vs. median5.5×

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	486	$58K
2019	558	$57K
2020	589	$52K
2021	462	$32K
2022	209	$11K
2023	474	$37K
2024incomplete	543	$45K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99255		30%	672	549	$89K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	22%	1,268	540	$64K
99244	Office or other outpatient consultation, moderate to high complexity	13%	355	264	$39K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	13%	550	282	$38K
99223	Prolong inpt eval add15 m	10%	223	184	$29K
99254		5.1%	123	104	$15K
99245		3.9%	72	68	$11K
99220		1.2%	27	25	$3K
49320		<1%	31	27	$3K

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 officialBOYD, LINDA (ADMINISTRATOR)