Clinic
Triangle Pediatric Center, P.A.
Triangle Pediatric Center, P.A. was paid $2.42M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 29% of everything it billed.
33Billing provider infoTRIANGLE PEDIATRIC CENTER, P.A.
CARY, NC 27710
CARY, NC 27710
33aNPI1447214242assigned 04/17/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$2.42M
24GClaims177,296
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#15 of 116
Median peer was paid$226K
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 | 6,556 | $203K | |
| 2019 | 7,689 | $258K | |
| 2020 | 8,534 | $247K | |
| 2021 | 29,120 | $499K | |
| 2022 | 45,706 | $403K | |
| 2023 | 36,717 | $382K | |
| 2024incomplete | 42,974 | $430K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 29% | 119,877 | 71,003 | $713K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 10,904 | 8,895 | $611K |
| 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 | 19% | 5,598 | 4,646 | $458K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.6% | 10,401 | 8,774 | $184K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 1,526 | 1,315 | $129K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.1% | 2,814 | 2,459 | $99K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.5% | 1,463 | 1,127 | $62K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.4% | 668 | 586 | $59K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 3,621 | 3,034 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 335 | 300 | $30K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 185 | 135 | $14K |
| 90686 | <1% | 4,101 | 3,405 | $6K |
36 more codes
| 0071A | <1% | 126 | $5K | |
| 92551 | <1% | 2,757 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 67 | $3K |
| 96127 | <1% | 466 | $2K | |
| 87400 | <1% | 169 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 158 | $2K |
| 90480 | <1% | 19 | $1K | |
| 0072A | <1% | 22 | $860.00 | |
| 96161 | <1% | 220 | $753.41 | |
| 0001A | <1% | 13 | $720.31 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $535.69 |
| 99173 | <1% | 1,021 | $525.77 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 17 | $518.83 |
| 99051 | <1% | 22 | $444.80 | |
| 96160 | <1% | 126 | $327.12 | |
| D1206 | Topical application of fluoride varnish | <1% | 17 | $214.78 |
| 99177 | <1% | 170 | $112.23 | |
| 90656 | <1% | 347 | $107.57 | |
| 90633 | <1% | 12 | $73.76 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 17 | $40.50 |
| 91307 | <1% | 172 | $33.06 | |
| 99072 | <1% | 4,154 | $23.10 | |
| 36416 | <1% | 123 | $12.64 | |
| 94760 | <1% | 150 | $2.07 | |
| 3008F | 0% | 1,963 | $0.00 | |
| 1170F | 0% | 1,809 | $0.00 | |
| 99000 | 0% | 592 | $0.00 | |
| 90723 | 0% | 61 | $0.00 | |
| 3351F | 0% | 145 | $0.00 | |
| 99174 | 0% | 37 | $0.00 | |
| 90648 | 0% | 227 | $0.00 | |
| 90685 | 0% | 182 | $0.00 | |
| 90670 | 0% | 246 | $0.00 | |
| 3725F | 0% | 98 | $0.00 | |
| 91300 | 0% | 29 | $0.00 | |
| 90681 | 0% | 15 | $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 officialAHEARN, SHARON (PRACTICE ADMINISTRATOR)