Clinic
Triad Adult and Pediatric Medicine, INC.
Triad Adult and Pediatric Medicine, INC. was paid $7.59M by Medicaid between Jan 2018 and Jul 2022, across 47 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoTRIAD ADULT AND PEDIATRIC MEDICINE, INC.
HIGH POINT, NC 27260
HIGH POINT, NC 27260
33aNPI1629077490assigned 07/14/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.59M
24GClaims137,825
24DCodes billed47
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#9 of 324
Median peer was paid$279K
This provider vs. median27×
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 | 25,190 | $1.79M | |
| 2019 | 23,922 | $1.90M | |
| 2020 | 13,394 | $1.54M | |
| 2021 | 38,561 | $2.16M | |
| 2022 | 36,758 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 83% | 24,855 | 20,482 | $6.33M |
| 99199 | Unlisted special service, procedure or report | 5.2% | 57,861 | 38,234 | $397K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 2,476 | 2,303 | $182K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 2,308 | 2,167 | $171K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 1,822 | 1,658 | $133K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 1,229 | 1,137 | $88K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 3,908 | 3,597 | $77K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 6,945 | 6,439 | $75K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 1,665 | 1,551 | $53K |
| D1206 | Topical application of fluoride varnish | <1% | 1,663 | 1,550 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,723 | 2,551 | $22K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 697 | 684 | $10K |
35 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 540 | $6K |
| 96160 | <1% | 1,151 | $4K | |
| 90474 | <1% | 313 | $4K | |
| 92587 | <1% | 1,186 | $3K | |
| 92551 | <1% | 5,053 | $2K | |
| 85018 | <1% | 3,042 | $2K | |
| 90649 | <1% | 667 | $2K | |
| 81003 | <1% | 1,630 | $2K | |
| 96127 | <1% | 1,599 | $1K | |
| 99173 | <1% | 5,360 | $821.87 | |
| 90686 | <1% | 3,342 | $695.10 | |
| 0002A | <1% | 19 | $585.00 | |
| 90620 | <1% | 95 | $482.25 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 23 | $438.20 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 36 | $228.95 |
| 96161 | <1% | 56 | $198.98 | |
| 94760 | <1% | 484 | $161.88 | |
| 90656 | <1% | 226 | $117.25 | |
| 90715 | <1% | 98 | $40.11 | |
| 90633 | <1% | 484 | $32.14 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $29.03 |
| 99177 | <1% | 304 | $20.88 | |
| 90698 | 0% | 799 | $0.00 | |
| 90680 | 0% | 371 | $0.00 | |
| 90744 | 0% | 245 | $0.00 | |
| 90696 | 0% | 104 | $0.00 | |
| 90716 | 0% | 88 | $0.00 | |
| 90670 | 0% | 1,398 | $0.00 | |
| 90710 | 0% | 126 | $0.00 | |
| 90648 | 0% | 76 | $0.00 | |
| 90734 | 0% | 453 | $0.00 | |
| 90700 | 0% | 24 | $0.00 | |
| 90707 | 0% | 73 | $0.00 | |
| 90655 | 0% | 133 | $0.00 | |
| 91300 | 0% | 62 | $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 officialELLERBY, BRIAN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Triad Adult and Pediatric Medicine, INC. | Greensboro, NC | $29.11M |
| Triad Adult and Pediatric Medicine, INC. | Greensboro, NC | $3.36M |
| County of Anson | Wadesboro, NC | $689K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.