Physician
Triad Pediatrics, PC
Triad Pediatrics, PC was paid $8.06M by Medicaid between May 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoTRIAD PEDIATRICS, PC
HIGH POINT, NC 27265
HIGH POINT, NC 27265
33aNPI1407355704assigned 02/02/2018
33bProvider typePediatrics Physician
28Total paid$8.06M
24GClaims554,729
24DCodes billed60
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#49 of 433
Median peer was paid$942K
This provider vs. median8.6×
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 | 6,464 | $103K | |
| 2019 | 14,215 | $408K | |
| 2020 | 19,325 | $575K | |
| 2021 | 62,058 | $1.17M | |
| 2022 | 126,638 | $1.79M | |
| 2023 | 152,712 | $1.96M | |
| 2024incomplete | 173,317 | $2.06M |
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 | 26% | 38,007 | 30,935 | $2.14M |
| 99199 | Unlisted special service, procedure or report | 23% | 292,848 | 158,729 | $1.82M |
| 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 | 13% | 12,563 | 10,238 | $1.06M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 11,717 | 9,094 | $898K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 8,982 | 7,645 | $738K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9.1% | 17,349 | 14,000 | $736K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 2,901 | 2,545 | $249K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 2,898 | 2,296 | $94K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,041 | 2,546 | $64K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,364 | 2,866 | $41K |
| 97802 | <1% | 3,572 | 2,856 | $38K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 289 | 255 | $28K |
48 more codes
| 92551 | <1% | 9,543 | $23K | |
| 99383 | <1% | 372 | $20K | |
| 99173 | <1% | 10,794 | $13K | |
| 99381 | <1% | 235 | $13K | |
| 99382 | <1% | 245 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 650 | $10K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 258 | $8K |
| 87807 | <1% | 633 | $8K | |
| 90461 | <1% | 3,636 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 217 | $7K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 84 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $6K |
| 83655 | <1% | 397 | $5K | |
| 99051 | <1% | 208 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 256 | $4K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 94 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 27 | $3K |
| 96161 | <1% | 797 | $3K | |
| 85018 | <1% | 1,566 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 125 | $2K |
| 90686 | <1% | 1,609 | $1K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 32 | $838.72 |
| 94664 | <1% | 79 | $735.63 | |
| 96127 | <1% | 182 | $689.54 | |
| 90674 | <1% | 453 | $283.73 | |
| 90651 | <1% | 18 | $260.44 | |
| 96380 | <1% | 13 | $205.68 | |
| 90633 | <1% | 565 | $107.62 | |
| 90744 | <1% | 737 | $84.00 | |
| 1160F | <1% | 47,235 | $53.22 | |
| 90715 | <1% | 24 | $44.68 | |
| 81003 | <1% | 30 | $34.08 | |
| 3078F | <1% | 9,783 | $0.23 | |
| 2001F | 0% | 31,473 | $0.00 | |
| 3008F | 0% | 11,117 | $0.00 | |
| 90680 | 0% | 1,273 | $0.00 | |
| 90698 | 0% | 2,200 | $0.00 | |
| 99000 | 0% | 4,368 | $0.00 | |
| 3074F | 0% | 10,139 | $0.00 | |
| 90677 | 0% | 476 | $0.00 | |
| 90716 | 0% | 538 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 90707 | 0% | 528 | $0.00 | |
| 90670 | 0% | 3,592 | $0.00 | |
| 90685 | 0% | 128 | $0.00 | |
| 90661 | 0% | 324 | $0.00 | |
| 90700 | 0% | 55 | $0.00 | |
| 90734 | 0% | 24 | $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 officialDILLARD, THOMAS (OWNER)