Physician
Grove Park Pediatrics
Grove Park Pediatrics was paid $8.51M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoGROVE PARK PEDIATRICS
BURLINGTON, NC 27215
BURLINGTON, NC 27215
33aNPI1275788416assigned 12/01/2008
33bProvider typePediatrics Physician
28Total paid$8.51M
24GClaims459,996
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#43 of 433
Median peer was paid$942K
This provider vs. median9.0×
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 | 38,484 | $1.18M | |
| 2019 | 40,478 | $1.49M | |
| 2020 | 30,745 | $1.20M | |
| 2021 | 52,705 | $1.16M | |
| 2022 | 85,455 | $1.09M | |
| 2023 | 87,395 | $1.00M | |
| 2024incomplete | 124,734 | $1.41M |
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 | 28% | 37,170 | 30,465 | $2.42M |
| 99199 | Unlisted special service, procedure or report | 16% | 258,610 | 135,128 | $1.34M |
| 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 | 15% | 12,987 | 11,555 | $1.27M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 6,683 | 6,529 | $631K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.5% | 5,344 | 5,165 | $551K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.3% | 5,896 | 5,737 | $539K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 3,745 | 3,576 | $326K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 15,086 | 14,629 | $285K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.9% | 6,556 | 6,395 | $166K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.7% | 2,974 | 2,777 | $145K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 7,871 | 4,954 | $142K |
| D0145 | Oral evaluation for a patient under three years of age | 1.6% | 4,131 | 4,016 | $139K |
65 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 6,570 | $90K |
| D1206 | Topical application of fluoride varnish | <1% | 4,130 | $61K |
| 92567 | <1% | 3,451 | $47K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,524 | $44K |
| 90651 | <1% | 1,913 | $43K | |
| 99058 | <1% | 1,879 | $29K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 258 | $27K |
| 90474 | <1% | 1,356 | $26K | |
| 99381 | <1% | 281 | $26K | |
| 90734 | <1% | 1,386 | $23K | |
| 94664 | <1% | 1,939 | $21K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,133 | $16K |
| 92551 | <1% | 14,407 | $16K | |
| 87807 | <1% | 1,161 | $15K | |
| 99050 | <1% | 565 | $13K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,059 | $11K |
| 99173 | <1% | 14,480 | $10K | |
| 83655 | <1% | 543 | $7K | |
| 90480 | <1% | 120 | $5K | |
| 90473 | <1% | 286 | $5K | |
| 90686 | <1% | 6,554 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $4K |
| 90715 | <1% | 804 | $4K | |
| 0071A | <1% | 37 | $2K | |
| 96127 | <1% | 477 | $2K | |
| 0072A | <1% | 27 | $2K | |
| 81002 | <1% | 433 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 55 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 16 | $571.95 |
| 90672 | <1% | 747 | $466.86 | |
| 90619 | <1% | 504 | $304.83 | |
| 90633 | <1% | 1,803 | $297.88 | |
| 99051 | <1% | 19 | $264.80 | |
| 90688 | <1% | 72 | $232.05 | |
| 85018 | <1% | 85 | $219.83 | |
| 90697 | <1% | 469 | $150.74 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 13 | $26.00 |
| 90707 | 0% | 478 | $0.00 | |
| 90681 | 0% | 1,237 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 119 | $0.00 |
| 90710 | 0% | 443 | $0.00 | |
| 1160F | 0% | 2,103 | $0.00 | |
| 90700 | 0% | 430 | $0.00 | |
| 91322 | 0% | 30 | $0.00 | |
| 90670 | 0% | 2,399 | $0.00 | |
| 90671 | 0% | 502 | $0.00 | |
| 3078F | 0% | 1,455 | $0.00 | |
| 91320 | 0% | 18 | $0.00 | |
| 91321 | 0% | 17 | $0.00 | |
| 90687 | 0% | 58 | $0.00 | |
| 90685 | 0% | 52 | $0.00 | |
| 90716 | 0% | 520 | $0.00 | |
| 3074F | 0% | 1,508 | $0.00 | |
| 90723 | 0% | 1,743 | $0.00 | |
| 90677 | 0% | 128 | $0.00 | |
| 90696 | 0% | 429 | $0.00 | |
| 3008F | 0% | 1,682 | $0.00 | |
| 90647 | 0% | 1,810 | $0.00 | |
| 3079F | 0% | 41 | $0.00 | |
| 2001F | 0% | 2,440 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 13 | $0.00 |
| 90656 | 0% | 603 | $0.00 | |
| 91319 | 0% | 16 | $0.00 | |
| 91307 | 0% | 69 | $0.00 | |
| 91318 | 0% | 18 | $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 officialGOLDAR, MARGARITA (OWNER)