Physician
Center for Pediatrics and Adolescent Medicine, PA
Center for Pediatrics and Adolescent Medicine, PA was paid $1.47M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoCENTER FOR PEDIATRICS AND ADOLESCENT MEDICINE, PA
MOORESVILLE, NC 28117
MOORESVILLE, NC 28117
33aNPI1437102381assigned 05/19/2006
33bProvider typePediatrics Physician
28Total paid$1.47M
24GClaims103,722
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#186 of 433
Median peer was paid$942K
This provider vs. median1.6×
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 | 3,376 | $118K | |
| 2019 | 3,922 | $167K | |
| 2020 | 2,616 | $101K | |
| 2021 | 12,371 | $205K | |
| 2022 | 26,247 | $311K | |
| 2023 | 26,750 | $294K | |
| 2024incomplete | 28,440 | $274K |
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 | 47% | 11,134 | 9,291 | $689K |
| 99199 | Unlisted special service, procedure or report | 32% | 80,293 | 45,454 | $477K |
| 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 | 14% | 2,266 | 1,926 | $206K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 1,366 | 1,304 | $26K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 597 | 457 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 808 | 395 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 97 | 79 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 426 | 370 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 170 | 169 | $5K |
| 96127 | <1% | 897 | 772 | $3K | |
| 92551 | <1% | 2,313 | 2,005 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | 25 | $3K |
12 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 38 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 271 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 48 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $935.04 |
| 99173 | <1% | 2,071 | $891.49 | |
| 90686 | <1% | 661 | $754.49 | |
| 99442 | <1% | 13 | $710.21 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 26 | $477.02 |
| 96160 | <1% | 137 | $463.30 | |
| D1206 | Topical application of fluoride varnish | <1% | 26 | $210.60 |
| 90670 | 0% | 12 | $0.00 | |
| 99174 | 0% | 12 | $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 officialTILT, ELIZABETH (PRESIDENT)