Physician
Lakeshore Pediatric Center, P.A.
Lakeshore Pediatric Center, P.A. was paid $1.67M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoLAKESHORE PEDIATRIC CENTER, P.A.
DENVER, NC 28037
DENVER, NC 28037
33aNPI1366650707assigned 05/18/2007
33bProvider typePediatrics Physician
28Total paid$1.67M
24GClaims99,925
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#175 of 433
Median peer was paid$942K
This provider vs. median1.8×
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 | 4,324 | $132K | |
| 2019 | 4,637 | $160K | |
| 2020 | 5,037 | $164K | |
| 2021 | 15,055 | $322K | |
| 2022 | 27,025 | $333K | |
| 2023 | 24,224 | $308K | |
| 2024incomplete | 19,623 | $254K |
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 | 39% | 11,753 | 9,352 | $650K |
| 99199 | Unlisted special service, procedure or report | 22% | 58,881 | 32,427 | $372K |
| 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 | 12% | 2,310 | 2,023 | $204K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.5% | 2,339 | 2,011 | $109K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 730 | 621 | $60K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 654 | 543 | $57K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 903 | 766 | $45K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 490 | 417 | $42K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 2,353 | 2,109 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 199 | 179 | $19K |
| 99401 | 1.0% | 641 | 579 | $17K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 715 | 648 | $13K |
34 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,726 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 915 | $11K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 192 | $7K |
| 92551 | <1% | 1,782 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 205 | $3K |
| 99051 | <1% | 136 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | $2K |
| 96127 | <1% | 471 | $2K | |
| 90686 | <1% | 819 | $2K | |
| 99173 | <1% | 2,326 | $2K | |
| 96160 | <1% | 402 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 32 | $1K |
| 80061 | Lipid panel | <1% | 46 | $669.69 |
| 81002 | <1% | 485 | $560.95 | |
| 90734 | <1% | 26 | $540.30 | |
| 96161 | <1% | 150 | $507.93 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $495.69 |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 16 | $492.32 |
| 90670 | <1% | 306 | $448.99 | |
| 83655 | <1% | 26 | $407.68 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 82 | $407.17 |
| 85018 | <1% | 234 | $279.91 | |
| 90651 | <1% | 12 | $257.98 | |
| 85014 | <1% | 26 | $30.70 | |
| 99072 | <1% | 4,221 | $2.90 | |
| 99000 | 0% | 1,819 | $0.00 | |
| 36416 | 0% | 780 | $0.00 | |
| 90656 | 0% | 60 | $0.00 | |
| 90680 | 0% | 39 | $0.00 | |
| 90677 | 0% | 13 | $0.00 | |
| 90700 | 0% | 321 | $0.00 | |
| 90633 | 0% | 35 | $0.00 | |
| 90713 | 0% | 76 | $0.00 | |
| 90648 | 0% | 109 | $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 officialNADRA, WISSAM (PRESIDENT)