Physician
Asheville Pediatric Associates
Asheville Pediatric Associates was paid $10.81M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoASHEVILLE PEDIATRIC ASSOCIATES
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
33aNPI1447383773assigned 03/14/2007
33bProvider typePediatrics Physician
28Total paid$10.81M
24GClaims556,588
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#28 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 | 35,200 | $992K | |
| 2019 | 36,934 | $1.30M | |
| 2020 | 31,703 | $1.04M | |
| 2021 | 69,417 | $1.75M | |
| 2022 | 126,688 | $2.16M | |
| 2023 | 126,736 | $2.01M | |
| 2024incomplete | 129,910 | $1.57M |
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 | 23% | 26,934 | 22,744 | $2.53M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 31,080 | 25,914 | $1.98M |
| 99199 | Unlisted special service, procedure or report | 12% | 280,694 | 148,138 | $1.28M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.3% | 17,096 | 14,612 | $786K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 6,814 | 5,253 | $597K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 5,633 | 4,895 | $529K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.4% | 5,115 | 4,399 | $471K |
| 99401 | 4.0% | 12,684 | 9,804 | $428K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.4% | 10,361 | 8,640 | $370K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 2.8% | 10,829 | 9,376 | $304K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 2.8% | 11,051 | 9,401 | $301K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.6% | 21,220 | 9,207 | $280K |
53 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 2,495 | $245K |
| 99051 | 2.1% | 9,647 | $225K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 9,513 | $92K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 8,570 | $76K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,515 | $57K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,790 | $37K |
| 87807 | <1% | 2,787 | $33K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,655 | $30K |
| 99050 | <1% | 1,043 | $25K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 415 | $15K |
| 96127 | <1% | 3,625 | $14K | |
| 90651 | <1% | 367 | $13K | |
| 90461 | <1% | 8,393 | $11K | |
| 99493 | <1% | 111 | $11K | |
| 92551 | <1% | 14,226 | $10K | |
| 87081 | <1% | 1,363 | $9K | |
| 90686 | <1% | 5,054 | $7K | |
| D1206 | Topical application of fluoride varnish | <1% | 415 | $6K |
| 80061 | Lipid panel | <1% | 434 | $6K |
| 99173 | <1% | 14,130 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 238 | $5K |
| 90734 | <1% | 202 | $3K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 339 | $3K |
| 83655 | <1% | 168 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 16 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 24 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 158 | $2K |
| 90480 | <1% | 31 | $1K | |
| 90672 | <1% | 570 | $1K | |
| 81003 | <1% | 522 | $1K | |
| 90620 | <1% | 37 | $965.25 | |
| 90674 | <1% | 1,180 | $525.76 | |
| 90671 | <1% | 193 | $228.48 | |
| 90633 | <1% | 349 | $208.17 | |
| 99177 | <1% | 273 | $122.67 | |
| 90715 | <1% | 17 | $116.79 | |
| 36416 | <1% | 9,829 | $45.24 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 18 | $37.80 |
| 99000 | <1% | 2,254 | $0.04 | |
| 90723 | 0% | 1,172 | $0.00 | |
| 90680 | 0% | 880 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 750 | $0.00 |
| 99174 | 0% | 258 | $0.00 | |
| 90696 | 0% | 33 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90660 | 0% | 12 | $0.00 | |
| 90670 | 0% | 2,393 | $0.00 | |
| 90685 | 0% | 330 | $0.00 | |
| 99072 | 0% | 2,626 | $0.00 | |
| 90648 | 0% | 2,628 | $0.00 | |
| 90661 | 0% | 259 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 727 | $0.00 |
| 90710 | 0% | 31 | $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 officialSCULLY, MARGIE (PRACTICE MANAGER)