Physician
First Pediatric Care Center, P.A.
First Pediatric Care Center, P.A. was paid $6.46M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoFIRST PEDIATRIC CARE CENTER, P.A.
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1194966903assigned 03/09/2009
33bProvider typePediatrics Physician
28Total paid$6.46M
24GClaims341,645
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#63 of 433
Median peer was paid$942K
This provider vs. median6.9×
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 | 26,249 | $662K | |
| 2019 | 28,865 | $849K | |
| 2020 | 24,964 | $781K | |
| 2021 | 59,261 | $1.11M | |
| 2022 | 79,870 | $1.24M | |
| 2023 | 73,519 | $1.03M | |
| 2024incomplete | 48,917 | $790K |
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 | 22% | 21,686 | 16,854 | $1.42M |
| 99199 | Unlisted special service, procedure or report | 11% | 126,791 | 77,927 | $733K |
| 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 | 10% | 6,848 | 6,350 | $648K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 5,028 | 4,330 | $464K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 4,346 | 3,623 | $433K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 4,320 | 3,710 | $411K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.9% | 7,796 | 6,643 | $381K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 3,754 | 3,303 | $344K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.3% | 14,943 | 12,663 | $278K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.1% | 4,279 | 3,296 | $198K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 10,488 | 4,643 | $139K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 796 | 722 | $114K |
57 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.2% | 1,140 | $75K |
| 96127 | 1.1% | 18,271 | $71K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 8,803 | $71K |
| 80047 | 1.1% | 2,844 | $70K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.0% | 2,105 | $68K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.0% | 7,706 | $67K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,643 | $62K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,504 | $56K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 5,614 | $54K |
| 90474 | <1% | 1,860 | $36K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 400 | $36K |
| D1206 | Topical application of fluoride varnish | <1% | 2,082 | $30K |
| 80061 | Lipid panel | <1% | 1,446 | $21K |
| 87807 | <1% | 1,550 | $20K | |
| 99383 | <1% | 185 | $19K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,742 | $17K |
| 83655 | <1% | 1,015 | $14K | |
| 92551 | <1% | 11,757 | $13K | |
| 90651 | <1% | 1,207 | $13K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,433 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 244 | $10K |
| 90734 | <1% | 1,281 | $10K | |
| 81003 | <1% | 3,467 | $8K | |
| 90620 | <1% | 727 | $7K | |
| 99384 | <1% | 61 | $7K | |
| 94664 | <1% | 513 | $5K | |
| 99401 | <1% | 190 | $5K | |
| 99382 | <1% | 39 | $5K | |
| 99173 | <1% | 12,466 | $3K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 156 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 117 | $2K |
| 90686 | <1% | 4,303 | $2K | |
| 84439 | <1% | 147 | $2K | |
| 90715 | <1% | 648 | $1K | |
| 90688 | <1% | 508 | $1K | |
| 69210 | <1% | 28 | $969.84 | |
| 90716 | <1% | 1,782 | $933.22 | |
| 90461 | <1% | 17 | $552.24 | |
| 90619 | <1% | 436 | $464.58 | |
| 90480 | <1% | 16 | $425.85 | |
| 90649 | <1% | 682 | $403.11 | |
| 90621 | <1% | 126 | $287.40 | |
| 90677 | <1% | 356 | $268.63 | |
| 90633 | <1% | 1,933 | $241.75 | |
| 90670 | <1% | 2,841 | $239.74 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 86 | $217.77 |
| 90707 | <1% | 1,781 | $178.79 | |
| 90744 | <1% | 1,823 | $132.13 | |
| 90713 | <1% | 3,586 | $110.46 | |
| 90656 | <1% | 661 | $42.94 | |
| 90700 | <1% | 4,403 | $26.55 | |
| 90648 | 0% | 3,254 | $0.00 | |
| 90681 | 0% | 161 | $0.00 | |
| 90671 | 0% | 104 | $0.00 | |
| 90710 | 0% | 38 | $0.00 | |
| 90687 | 0% | 161 | $0.00 | |
| 90680 | 0% | 1,121 | $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 officialLUBEGA, MARGARET (MEDICAL DIRECTOR)