The Pediatric Center, PLLC
The Pediatric Center, PLLC was paid $1.58M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 32% of everything it billed.
33Billing provider infoTHE PEDIATRIC CENTER, PLLC
WILMINGTON, NC 28403
WILMINGTON, NC 28403
33aNPI1457320756assigned 03/17/2006
33bProvider typeSpecialist
28Total paid$1.58M
24GClaims119,340
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#29 of 172
Median peer was paid$83K
This provider vs. median19×
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 | 4,755 | $164K | |
| 2019 | 4,222 | $172K | |
| 2020 | 3,692 | $137K | |
| 2021 | 16,951 | $269K | |
| 2022 | 33,056 | $322K | |
| 2023 | 29,781 | $278K | |
| 2024incomplete | 26,883 | $241K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 32% | 88,724 | 31,805 | $499K |
| 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 | 28% | 5,918 | 4,493 | $450K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 7,475 | 6,363 | $410K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 2,751 | 2,119 | $95K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.3% | 1,411 | 976 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 249 | 188 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 211 | 179 | $13K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,873 | 1,363 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 980 | 429 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 556 | 499 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 92 | 91 | $8K |
| 99070 | <1% | 1,595 | 1,102 | $6K |
19 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 107 | $4K |
| 92551 | <1% | 1,899 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 134 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | $2K |
| 90686 | <1% | 1,495 | $1K | |
| 99401 | <1% | 84 | $574.50 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 41 | $418.06 |
| 90473 | <1% | 13 | $224.95 | |
| D1206 | Topical application of fluoride varnish | <1% | 41 | $184.53 |
| 99173 | <1% | 2,262 | $125.85 | |
| 96127 | <1% | 24 | $102.00 | |
| 96160 | <1% | 34 | $74.80 | |
| 94760 | <1% | 104 | $70.38 | |
| G9920 | Screening performed and negative | <1% | 1,105 | $5.00 |
| 90685 | 0% | 42 | $0.00 | |
| 99072 | 0% | 36 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| 36416 | 0% | 25 | $0.00 | |
| 90656 | 0% | 26 | $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 officialEDWARDS, PATRICK (CO-OWNER)