Premier Pediatrics, PA
Premier Pediatrics, PA was paid $3.75M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPREMIER PEDIATRICS, PA
SOUTHERN PINES, NC 28387
SOUTHERN PINES, NC 28387
33aNPI1588626865assigned 04/04/2006
33bProvider typeSpecialist
28Total paid$3.75M
24GClaims200,214
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#14 of 172
Median peer was paid$83K
This provider vs. median45×
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 | 14,757 | $443K | |
| 2019 | 13,657 | $475K | |
| 2020 | 9,794 | $373K | |
| 2021 | 27,577 | $614K | |
| 2022 | 47,792 | $715K | |
| 2023 | 45,212 | $649K | |
| 2024incomplete | 41,425 | $483K |
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 | 38% | 23,220 | 19,070 | $1.41M |
| 99199 | Unlisted special service, procedure or report | 19% | 117,041 | 63,706 | $707K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 2,422 | 2,048 | $242K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 2,211 | 1,959 | $229K |
| 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 | 5.7% | 2,374 | 1,923 | $215K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 1,950 | 1,720 | $180K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.5% | 8,485 | 7,602 | $168K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 1,521 | 1,337 | $154K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.7% | 4,186 | 3,754 | $139K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,632 | 1,424 | $61K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 2,771 | 1,531 | $44K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 4,502 | 3,751 | $40K |
41 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,799 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,989 | $27K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 551 | $21K |
| 96127 | <1% | 4,245 | $18K | |
| 90474 | <1% | 507 | $10K | |
| D1206 | Topical application of fluoride varnish | <1% | 552 | $9K |
| 99051 | <1% | 357 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 70 | $7K |
| 90651 | <1% | 381 | $7K | |
| 92551 | <1% | 1,438 | $4K | |
| 81003 | <1% | 1,212 | $3K | |
| 96161 | <1% | 678 | $2K | |
| 90734 | <1% | 134 | $2K | |
| 90686 | <1% | 2,642 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 166 | $2K |
| 87807 | <1% | 122 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 93 | $2K |
| 83718 | <1% | 144 | $1K | |
| 92587 | <1% | 1,330 | $1K | |
| 82465 | <1% | 145 | $721.38 | |
| 99401 | <1% | 28 | $532.32 | |
| 90633 | <1% | 497 | $419.88 | |
| 86308 | <1% | 64 | $408.34 | |
| 81025 | <1% | 31 | $228.62 | |
| 99173 | <1% | 3,242 | $196.66 | |
| 90715 | <1% | 78 | $173.00 | |
| 90716 | <1% | 73 | $124.91 | |
| 85018 | <1% | 25 | $59.60 | |
| 90744 | <1% | 338 | $26.61 | |
| 90656 | <1% | 88 | $0.29 | |
| 90648 | 0% | 144 | $0.00 | |
| 90670 | 0% | 1,396 | $0.00 | |
| 90710 | 0% | 128 | $0.00 | |
| 90713 | 0% | 238 | $0.00 | |
| 90700 | 0% | 365 | $0.00 | |
| 90707 | 0% | 67 | $0.00 | |
| 90685 | 0% | 26 | $0.00 | |
| 90680 | 0% | 519 | $0.00 | |
| 90698 | 0% | 832 | $0.00 | |
| 90677 | 0% | 61 | $0.00 | |
| 90619 | 0% | 104 | $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 officialSLOAN, PETINA (PRACTICE ADMINISTRATOR)