Physician
Wilkes Pediatric Clinic, PLLC
Wilkes Pediatric Clinic, PLLC was paid $14.21M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoWILKES PEDIATRIC CLINIC, PLLC
NORTH WILKESBORO, NC 28659
NORTH WILKESBORO, NC 28659
33aNPI1659487502assigned 08/22/2006
33bProvider typePediatrics Physician
28Total paid$14.21M
24GClaims558,494
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#19 of 433
Median peer was paid$942K
This provider vs. median15×
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 | 50,174 | $1.48M | |
| 2019 | 49,958 | $1.81M | |
| 2020 | 41,338 | $1.51M | |
| 2021 | 85,844 | $2.42M | |
| 2022 | 123,467 | $2.81M | |
| 2023 | 111,961 | $2.37M | |
| 2024incomplete | 95,752 | $1.81M |
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 | 37% | 80,054 | 65,247 | $5.28M |
| 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 | 14% | 20,869 | 17,729 | $2.06M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.3% | 9,652 | 8,818 | $889K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 8,982 | 8,315 | $877K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 8,337 | 7,680 | $821K |
| 99199 | Unlisted special service, procedure or report | 4.1% | 191,865 | 188,958 | $582K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 5,339 | 4,779 | $556K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.6% | 15,795 | 14,382 | $507K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.4% | 24,140 | 21,798 | $477K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.5% | 9,626 | 7,477 | $352K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 22,155 | 10,413 | $306K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 7,343 | 6,420 | $294K |
51 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 20,985 | $290K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 4,538 | $162K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 14,380 | $143K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 3,598 | $141K |
| 90474 | <1% | 4,572 | $93K | |
| D1206 | Topical application of fluoride varnish | <1% | 4,535 | $72K |
| 96127 | <1% | 7,125 | $31K | |
| 87807 | <1% | 2,297 | $31K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 176 | $24K |
| 96160 | <1% | 6,566 | $23K | |
| 90734 | <1% | 970 | $23K | |
| 83655 | <1% | 1,510 | $22K | |
| 92551 | <1% | 18,601 | $20K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 198 | $18K |
| 99173 | <1% | 20,040 | $16K | |
| 90651 | <1% | 575 | $16K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,256 | $13K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 74 | $11K |
| 90620 | <1% | 262 | $11K | |
| 81003 | <1% | 3,432 | $8K | |
| 90473 | <1% | 369 | $7K | |
| 85018 | <1% | 4,062 | $7K | |
| 99070 | <1% | 1,362 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 343 | $7K |
| 90688 | <1% | 5,082 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 44 | $5K |
| 90715 | <1% | 564 | $3K | |
| 90619 | <1% | 623 | $2K | |
| 82947 | <1% | 322 | $2K | |
| 90672 | <1% | 501 | $786.20 | |
| 90716 | <1% | 1,222 | $738.67 | |
| 80061 | Lipid panel | <1% | 36 | $595.08 |
| 81025 | <1% | 43 | $319.80 | |
| 90707 | <1% | 1,206 | $70.73 | |
| 90713 | <1% | 604 | $32.15 | |
| 90698 | <1% | 3,418 | $1.33 | |
| 90697 | <1% | 1,521 | $1.03 | |
| 90677 | <1% | 642 | $0.74 | |
| 90680 | <1% | 4,311 | $0.20 | |
| 90661 | <1% | 33 | $0.09 | |
| 90660 | <1% | 18 | $0.02 | |
| 90674 | <1% | 523 | $0.02 | |
| 90700 | <1% | 2,251 | $0.01 | |
| 90710 | <1% | 298 | $0.01 | |
| 90671 | 0% | 266 | $0.00 | |
| 90670 | 0% | 6,692 | $0.00 | |
| 90687 | 0% | 434 | $0.00 | |
| 90648 | 0% | 136 | $0.00 | |
| 90621 | 0% | 13 | $0.00 | |
| 90744 | 0% | 1,661 | $0.00 | |
| 90696 | 0% | 47 | $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 officialJOHNSON, JACKIE (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| All Care Pediatrics PA | Millburn, NJ | $1.13M |
| Tillman County Oklahoma Emergency | Frederick, OK | $330K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.