Clinic
Goldsboro Pediatrics PA
Goldsboro Pediatrics PA was paid $60.98M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoGOLDSBORO PEDIATRICS PA
GOLDSBORO, NC 27534
GOLDSBORO, NC 27534
33aNPI1427125269assigned 11/29/2006
33bProvider typeRural Health Clinic/Center
28Total paid$60.98M
24GClaims3,079,587
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in North Carolina
Rank by total paid#1 of 65
Median peer was paid$156K
This provider vs. median391×
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 | 222,523 | $6.06M | |
| 2019 | 220,929 | $6.82M | |
| 2020 | 185,345 | $6.03M | |
| 2021 | 397,766 | $9.19M | |
| 2022 | 693,076 | $11.93M | |
| 2023 | 690,728 | $11.39M | |
| 2024incomplete | 669,220 | $9.55M |
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% | 238,153 | 214,415 | $14.77M |
| 99199 | Unlisted special service, procedure or report | 14% | 1,492,787 | 944,779 | $8.56M |
| 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 | 11% | 70,468 | 62,497 | $6.59M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.7% | 88,061 | 75,159 | $4.69M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 48,006 | 42,369 | $4.17M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 44,989 | 40,973 | $4.07M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 32,647 | 29,914 | $2.98M |
| 87428 | 2.8% | 28,559 | 24,141 | $1.69M | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 16,984 | 15,254 | $1.67M |
| 99401 | 2.4% | 44,017 | 37,660 | $1.46M | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 28,221 | 27,829 | $1.42M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 48,013 | 47,311 | $949K |
93 more codes
| D0145 | Oral evaluation for a patient under three years of age | 1.5% | 26,122 | $914K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 97,219 | $907K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 23,592 | $859K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16,208 | $587K |
| 99051 | <1% | 20,988 | $521K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 55,840 | $513K |
| D1206 | Topical application of fluoride varnish | <1% | 26,175 | $403K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 5,779 | $395K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 21,528 | $276K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 6,221 | $240K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 2,492 | $215K |
| 99460 | <1% | 2,720 | $200K | |
| 83718 | <1% | 19,484 | $186K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,933 | $175K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12,603 | $172K |
| 87807 | <1% | 10,523 | $145K | |
| 82465 | <1% | 26,747 | $136K | |
| 83655 | <1% | 9,364 | $133K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 2,361 | $98K |
| 96161 | <1% | 25,206 | $90K | |
| 92551 | <1% | 69,035 | $90K | |
| 96127 | <1% | 16,773 | $72K | |
| 90651 | <1% | 5,531 | $69K | |
| 99173 | <1% | 80,147 | $47K | |
| 87081 | <1% | 6,808 | $47K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 4,623 | $46K |
| 99462 | <1% | 1,370 | $45K | |
| 95117 | <1% | 4,270 | $39K | |
| 81003 | <1% | 21,813 | $36K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 3,413 | $36K |
| 90686 | <1% | 40,844 | $33K | |
| 92587 | <1% | 1,065 | $29K | |
| 90734 | <1% | 1,655 | $27K | |
| 0071A | <1% | 332 | $16K | |
| 90688 | <1% | 9,316 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 103 | $14K |
| 99381 | <1% | 133 | $12K | |
| 0072A | <1% | 248 | $11K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 111 | $10K |
| 94664 | <1% | 917 | $10K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 577 | $9K |
| E0570 | Nebulizer, with compressor | <1% | 63 | $9K |
| 69210 | <1% | 259 | $8K | |
| 90480 | <1% | 151 | $7K | |
| 81001 | <1% | 1,731 | $6K | |
| 94760 | <1% | 8,425 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 65 | $4K |
| 99070 | <1% | 489 | $4K | |
| 90619 | <1% | 1,255 | $3K | |
| 0081A | <1% | 49 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 25 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $3K |
| 90621 | <1% | 187 | $3K | |
| 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% | 97 | $3K |
| 81025 | <1% | 366 | $3K | |
| 90670 | <1% | 28,788 | $2K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 103 | $2K |
| 82947 | <1% | 393 | $2K | |
| 99219 | <1% | 13 | $2K | |
| 90716 | <1% | 9,366 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 34 | $1K |
| 92552 | <1% | 56 | $904.40 | |
| 0082A | <1% | 12 | $780.00 | |
| 99217 | <1% | 12 | $775.32 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 77 | $746.25 |
| 90633 | <1% | 10,879 | $719.92 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $582.68 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,118 | $572.57 |
| 90713 | <1% | 32,365 | $509.19 | |
| 90715 | <1% | 204 | $472.43 | |
| 90707 | <1% | 8,677 | $342.73 | |
| 88720 | <1% | 51 | $311.50 | |
| 90700 | <1% | 43,848 | $235.68 | |
| 90656 | <1% | 3,662 | $168.00 | |
| 90744 | <1% | 9,717 | $129.17 | |
| 90680 | <1% | 18,894 | $96.10 | |
| 90647 | <1% | 20,667 | $87.70 | |
| A4620 | Variable concentration mask | <1% | 33 | $20.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 141 | $13.37 |
| 90677 | <1% | 5,407 | $5.55 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 139 | $2.09 |
| 99499 | <1% | 2,006 | $0.05 | |
| 91321 | <1% | 56 | $0.03 | |
| 3074F | 0% | 309 | $0.00 | |
| 36416 | 0% | 775 | $0.00 | |
| 91307 | 0% | 773 | $0.00 | |
| 85018 | 0% | 25 | $0.00 | |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 0% | 18 | $0.00 |
| 90687 | 0% | 3,149 | $0.00 | |
| 3078F | 0% | 208 | $0.00 | |
| J7510 | Prednisolone oral, per 5 mg | 0% | 24 | $0.00 |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | 0% | 170 | $0.00 |
| 91308 | 0% | 107 | $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 officialRIDDICK, MICHAEL (PRACTICE MANAGER)