Physician
Seaside Pediatrics
Seaside Pediatrics was paid $1.32M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoSEASIDE PEDIATRICS
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1346486891assigned 01/05/2009
33bProvider typePediatrics Physician
28Total paid$1.32M
24GClaims88,319
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#190 of 433
Median peer was paid$942K
This provider vs. median1.4×
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 | 2,928 | $118K | |
| 2019 | 2,217 | $117K | |
| 2020 | 2,197 | $78K | |
| 2021 | 9,432 | $160K | |
| 2022 | 24,103 | $280K | |
| 2023 | 24,297 | $303K | |
| 2024incomplete | 23,145 | $262K |
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 | 31% | 6,846 | 5,645 | $408K |
| 99199 | Unlisted special service, procedure or report | 24% | 63,047 | 29,397 | $313K |
| 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 | 14% | 2,144 | 1,866 | $186K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,767 | 1,397 | $142K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 777 | 668 | $71K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 3,070 | 2,651 | $55K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 1,664 | 1,433 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 205 | 174 | $18K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.2% | 272 | 252 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 2,007 | 1,754 | $15K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 486 | 418 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 337 | 292 | $11K |
22 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 243 | $9K |
| 90474 | <1% | 374 | $7K | |
| 99401 | <1% | 243 | $6K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 76 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | $2K |
| 96127 | <1% | 390 | $1K | |
| 83655 | <1% | 46 | $656.93 | |
| 90670 | <1% | 705 | $652.98 | |
| 87634 | <1% | 14 | $362.88 | |
| 99173 | <1% | 1,505 | $320.94 | |
| 81002 | <1% | 223 | $229.29 | |
| 90656 | <1% | 44 | $204.30 | |
| 90680 | <1% | 376 | $184.88 | |
| 90686 | <1% | 578 | $170.07 | |
| 92551 | <1% | 215 | $84.08 | |
| 85018 | <1% | 43 | $20.53 | |
| 90677 | 0% | 173 | $0.00 | |
| 90698 | 0% | 240 | $0.00 | |
| 90697 | 0% | 94 | $0.00 | |
| 90744 | 0% | 33 | $0.00 | |
| 90685 | 0% | 20 | $0.00 | |
| 90707 | 0% | 16 | $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 officialHORGER, EDGAR (PRESIDENT)