Physician
Prospect Behavioral Pediatrics and Psychiatry
Prospect Behavioral Pediatrics and Psychiatry was paid $2.03M by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 92% of everything it billed.
33Billing provider infoPROSPECT BEHAVIORAL PEDIATRICS AND PSYCHIATRY
ARDEN, NC 28704
ARDEN, NC 28704
33aNPI1215301569assigned 11/24/2015
33bProvider typePsychiatry Physician
28Total paid$2.03M
24GClaims27,483
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Psychiatry Physician providers in North Carolina
Rank by total paid#20 of 165
Median peer was paid$187K
This provider vs. median11×
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 | 4,346 | $316K | |
| 2019 | 3,742 | $283K | |
| 2020 | 3,382 | $239K | |
| 2021 | 4,400 | $297K | |
| 2022 | 4,065 | $285K | |
| 2023 | 4,736 | $338K | |
| 2024incomplete | 2,812 | $273K |
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 | 92% | 25,386 | 18,947 | $1.87M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.4% | 495 | 370 | $49K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.3% | 531 | 439 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 504 | 354 | $26K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 217 | 156 | $15K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 201 | 155 | $10K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 45 | 40 | $6K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 69 | 54 | $5K |
| 99205 | Prolong outpt/office vis | <1% | 15 | 14 | $2K |
| 99214GT | <1% | 20 | 20 | $2K |
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 officialTROMBLEY, PAUL (ORGANIZER)