Physician
Blue Sky Pediatrics Asheville PA
Blue Sky Pediatrics Asheville PA was paid $4.72M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoBLUE SKY PEDIATRICS ASHEVILLE PA
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
33aNPI1215176524assigned 02/10/2009
33bProvider typePediatrics Physician
28Total paid$4.72M
24GClaims218,828
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#80 of 433
Median peer was paid$942K
This provider vs. median5.0×
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 | 16,930 | $536K | |
| 2019 | 18,445 | $712K | |
| 2020 | 18,213 | $641K | |
| 2021 | 30,719 | $845K | |
| 2022 | 44,356 | $800K | |
| 2023 | 41,116 | $650K | |
| 2024incomplete | 49,049 | $533K |
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 | 32% | 17,391 | 13,858 | $1.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 13,940 | 10,772 | $822K |
| 99199 | Unlisted special service, procedure or report | 9.5% | 97,517 | 52,922 | $449K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.3% | 9,249 | 7,693 | $391K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.6% | 3,123 | 2,582 | $358K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 2,893 | 2,399 | $262K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 2,058 | 1,662 | $177K |
| 99050 | 3.7% | 7,270 | 6,155 | $174K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 1,877 | 1,544 | $168K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 5,918 | 5,076 | $55K |
| 96127 | 1.1% | 9,680 | 7,920 | $54K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 1,488 | 1,133 | $47K |
40 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,624 | $46K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,104 | $37K |
| 87428 | <1% | 715 | $33K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 324 | $32K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 698 | $17K |
| D1206 | Topical application of fluoride varnish | <1% | 1,099 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 428 | $15K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 832 | $14K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 83 | $10K |
| 80061 | Lipid panel | <1% | 440 | $7K |
| 0240U | <1% | 51 | $5K | |
| 92551 | <1% | 6,481 | $4K | |
| 99058 | <1% | 202 | $3K | |
| 81003 | <1% | 1,226 | $2K | |
| 87807 | <1% | 191 | $2K | |
| 85018 | <1% | 4,253 | $2K | |
| 96161 | <1% | 595 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 87 | $2K |
| 90686 | <1% | 4,218 | $2K | |
| 99173 | <1% | 6,806 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 578 | $1K |
| 90473 | <1% | 71 | $981.60 | |
| 69210 | <1% | 31 | $790.24 | |
| 94664 | <1% | 84 | $756.84 | |
| 90633 | <1% | 140 | $104.00 | |
| 83655 | <1% | 239 | $89.58 | |
| 36416 | <1% | 5,090 | $61.16 | |
| 94760 | <1% | 2,066 | $10.75 | |
| 99000 | 0% | 1,831 | $0.00 | |
| 90674 | 0% | 665 | $0.00 | |
| 90680 | 0% | 251 | $0.00 | |
| 90744 | 0% | 132 | $0.00 | |
| 90698 | 0% | 448 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 63 | $0.00 |
| 90716 | 0% | 87 | $0.00 | |
| 90651 | 0% | 102 | $0.00 | |
| 90677 | 0% | 14 | $0.00 | |
| 90707 | 0% | 73 | $0.00 | |
| 90670 | 0% | 895 | $0.00 | |
| 90672 | 0% | 107 | $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 officialKOWA, HARALD (OWNER)