Physician
Roxboro Internal Medicine & Pediatrics, P.A.
Roxboro Internal Medicine & Pediatrics, P.A. was paid $2.32M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoROXBORO INTERNAL MEDICINE & PEDIATRICS, P.A.
ROXBORO, NC 27573
ROXBORO, NC 27573
33aNPI1427016138assigned 05/02/2006
33bProvider typePediatrics Physician
28Total paid$2.32M
24GClaims129,398
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#145 of 433
Median peer was paid$942K
This provider vs. median2.5×
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 | 4,748 | $152K | |
| 2019 | 5,902 | $197K | |
| 2020 | 5,005 | $167K | |
| 2021 | 17,683 | $347K | |
| 2022 | 30,194 | $574K | |
| 2023 | 32,741 | $513K | |
| 2024incomplete | 33,125 | $367K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 26% | 7,967 | 5,786 | $605K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 18% | 4,458 | 2,794 | $424K |
| 99199 | Unlisted special service, procedure or report | 17% | 66,292 | 40,080 | $383K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 3,931 | 3,141 | $203K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 1,521 | 1,112 | $121K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 1,257 | 950 | $97K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 1,234 | 884 | $93K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 5,514 | 3,639 | $78K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.0% | 2,780 | 1,895 | $70K |
| D0145 | Oral evaluation for a patient under three years of age | 1.6% | 1,253 | 915 | $38K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 445 | 336 | $37K |
| 99205 | Prolong outpt/office vis | 1.1% | 198 | 120 | $26K |
45 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,721 | $19K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,906 | $18K |
| D1206 | Topical application of fluoride varnish | <1% | 1,178 | $16K |
| 96127 | <1% | 3,241 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 852 | $10K |
| 92551 | <1% | 3,272 | $9K | |
| 99406 | <1% | 1,796 | $9K | |
| 99408 | <1% | 1,012 | $9K | |
| 90671 | <1% | 137 | $9K | |
| 99354 | <1% | 84 | $6K | |
| 90474 | <1% | 325 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 95 | $5K |
| 90686 | <1% | 1,656 | $3K | |
| 90651 | <1% | 214 | $3K | |
| 90670 | <1% | 796 | $2K | |
| 99173 | <1% | 3,365 | $1K | |
| 90723 | <1% | 496 | $1K | |
| 96161 | <1% | 743 | $1K | |
| 2014F | <1% | 798 | $940.17 | |
| 90734 | <1% | 144 | $873.90 | |
| 83655 | <1% | 53 | $774.96 | |
| 81002 | <1% | 274 | $537.14 | |
| 90647 | <1% | 550 | $441.74 | |
| 90680 | <1% | 315 | $380.84 | |
| 90715 | <1% | 38 | $375.35 | |
| 85018 | <1% | 198 | $352.70 | |
| 90710 | <1% | 105 | $275.16 | |
| 0513F | <1% | 63 | $120.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 37 | $86.40 |
| 2015F | <1% | 25 | $80.00 | |
| 3085F | <1% | 16 | $40.00 | |
| 94760 | <1% | 68 | $6.21 | |
| G8482 | Influenza immunization administered or previously received | <1% | 321 | $0.25 |
| 90633 | <1% | 147 | $0.01 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 119 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 357 | $0.00 |
| 90696 | 0% | 17 | $0.00 | |
| 90677 | 0% | 41 | $0.00 | |
| 3008F | 0% | 84 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 54 | $0.00 |
| 1036F | 0% | 62 | $0.00 | |
| 90688 | 0% | 18 | $0.00 | |
| 3078F | 0% | 4,419 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 316 | $0.00 |
| 90685 | 0% | 20 | $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 officialBOLTON, JENNIFER (INSURANCE MANAGER)