Physician
Park Avenue Pediatrics PA
Park Avenue Pediatrics PA was paid $10.64M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoPARK AVENUE PEDIATRICS PA
ROANOKE RAPIDS, NC 27870
ROANOKE RAPIDS, NC 27870
33aNPI1417914797assigned 04/28/2006
33bProvider typePediatrics Physician
28Total paid$10.64M
24GClaims612,866
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#30 of 433
Median peer was paid$942K
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 | 37,737 | $939K | |
| 2019 | 39,063 | $1.07M | |
| 2020 | 35,526 | $1.14M | |
| 2021 | 76,147 | $1.68M | |
| 2022 | 133,249 | $2.06M | |
| 2023 | 132,136 | $1.89M | |
| 2024incomplete | 159,008 | $1.85M |
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 | 24% | 42,900 | 34,671 | $2.59M |
| 99199 | Unlisted special service, procedure or report | 14% | 298,497 | 163,866 | $1.53M |
| 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 | 8.7% | 10,355 | 8,481 | $924K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 9,687 | 8,729 | $849K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 8,642 | 7,559 | $778K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 8,704 | 7,699 | $746K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 5,257 | 4,543 | $510K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 22,397 | 19,662 | $431K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.7% | 13,222 | 11,715 | $399K |
| D0145 | Oral evaluation for a patient under three years of age | 2.9% | 8,985 | 8,067 | $304K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 5,408 | 4,651 | $194K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 5,337 | 4,104 | $186K |
72 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 10,332 | $137K |
| 99401 | 1.3% | 4,425 | $135K | |
| D1206 | Topical application of fluoride varnish | 1.3% | 8,983 | $134K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 8,709 | $118K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 10,947 | $104K |
| 90474 | <1% | 4,737 | $94K | |
| 80061 | Lipid panel | <1% | 4,628 | $71K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 3,439 | $64K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,600 | $40K |
| 83655 | <1% | 2,743 | $37K | |
| 90651 | <1% | 1,860 | $35K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 682 | $31K |
| 96161 | <1% | 6,475 | $23K | |
| 87807 | <1% | 1,700 | $22K | |
| 96127 | <1% | 4,740 | $19K | |
| 96160 | <1% | 4,626 | $16K | |
| 0002A | <1% | 367 | $15K | |
| 0072A | <1% | 248 | $14K | |
| 0071A | <1% | 198 | $12K | |
| 0001A | <1% | 271 | $12K | |
| 90734 | <1% | 1,301 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 142 | $12K |
| 99441 | <1% | 338 | $6K | |
| 92551 | <1% | 16,546 | $5K | |
| 90686 | <1% | 5,404 | $4K | |
| 99070 | <1% | 602 | $3K | |
| 99173 | <1% | 15,130 | $3K | |
| 90621 | <1% | 213 | $3K | |
| 0054A | <1% | 36 | $2K | |
| 0082A | <1% | 29 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 181 | $1K |
| 99460 | <1% | 17 | $1K | |
| 0081A | <1% | 17 | $1K | |
| 94664 | <1% | 122 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 85018 | <1% | 3,106 | $1K | |
| 92567 | <1% | 77 | $999.01 | |
| 0004A | <1% | 22 | $957.55 | |
| 0154A | <1% | 28 | $787.51 | |
| 90715 | <1% | 276 | $764.96 | |
| 96380 | <1% | 47 | $582.76 | |
| 90633 | <1% | 3,049 | $231.52 | |
| 81002 | <1% | 73 | $224.98 | |
| 99177 | <1% | 2,721 | $107.01 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $41.62 |
| 91307 | <1% | 654 | $11.02 | |
| 36416 | <1% | 6,427 | $3.16 | |
| 90723 | 0% | 5,275 | $0.00 | |
| 90647 | 0% | 5,121 | $0.00 | |
| 90680 | 0% | 4,898 | $0.00 | |
| 90677 | 0% | 1,044 | $0.00 | |
| 2001F | 0% | 987 | $0.00 | |
| 90696 | 0% | 315 | $0.00 | |
| 3008F | 0% | 403 | $0.00 | |
| 90656 | 0% | 654 | $0.00 | |
| 3074F | 0% | 610 | $0.00 | |
| 90674 | 0% | 196 | $0.00 | |
| 91315 | 0% | 28 | $0.00 | |
| 3079F | 0% | 29 | $0.00 | |
| 90716 | 0% | 25 | $0.00 | |
| 91305 | 0% | 150 | $0.00 | |
| 90710 | 0% | 2,567 | $0.00 | |
| 1160F | 0% | 1,702 | $0.00 | |
| 91300 | 0% | 723 | $0.00 | |
| 90670 | 0% | 6,033 | $0.00 | |
| 90380 | 0% | 25 | $0.00 | |
| 3078F | 0% | 570 | $0.00 | |
| 90685 | 0% | 79 | $0.00 | |
| 91308 | 0% | 122 | $0.00 | |
| 90700 | 0% | 468 | $0.00 | |
| 90707 | 0% | 26 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 1,129 | $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 officialTIWARI, SANDEEP (PRESIDENT)