Physician
Mountainside Pediatric and Adolescent Clinic, PLLC
Mountainside Pediatric and Adolescent Clinic, PLLC was paid $211K by Medicaid between Apr 2021 and May 2023, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoMOUNTAINSIDE PEDIATRIC AND ADOLESCENT CLINIC, PLLC
ANDREWS, NC 28901
ANDREWS, NC 28901
33aNPI1518557073assigned 01/19/2021
33bProvider typePediatrics Physician
28Total paid$211K
24GClaims7,611
24DCodes billed14
24AFirst – last monthApr 2021 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#291 of 433
Median peer was paid$942K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 2,311 | $109K | |
| 2022 | 4,573 | $99K | |
| 2023 | 727 | $3K |
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 | 53% | 1,162 | 701 | $112K |
| 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% | 818 | 488 | $55K |
| 99199 | Unlisted special service, procedure or report | 9.4% | 4,108 | 2,349 | $20K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 100 | 50 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 86 | 34 | $4K |
| 96127 | 1.5% | 700 | 432 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 39 | 29 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 264 | 176 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 20 | 13 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | 13 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 22 | 12 | $1K |
| 96161 | <1% | 23 | 13 | $70.17 |
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 officialCLEMENTS, VICTORIA (OWNER/PROVIDER)