Physician
Gastonia Pediatric Associates, PA
Gastonia Pediatric Associates, PA was paid $6.01M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoGASTONIA PEDIATRIC ASSOCIATES, PA
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1679568992assigned 09/13/2005
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$6.01M
24GClaims322,281
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in North Carolina
Rank by total paid#8 of 20
Median peer was paid$4.16M
This provider vs. median1.4×
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 | 20,117 | $612K | |
| 2019 | 20,971 | $755K | |
| 2020 | 15,811 | $573K | |
| 2021 | 39,904 | $876K | |
| 2022 | 75,129 | $1.17M | |
| 2023 | 78,518 | $1.10M | |
| 2024incomplete | 71,831 | $931K |
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% | 34,890 | 30,141 | $2.27M |
| 99199 | Unlisted special service, procedure or report | 17% | 181,123 | 110,222 | $1.05M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.5% | 6,206 | 5,356 | $570K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 5,288 | 4,906 | $520K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 2,930 | 2,680 | $293K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.8% | 7,867 | 7,169 | $231K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.6% | 11,078 | 10,056 | $219K |
| 99050 | 3.2% | 7,398 | 6,711 | $190K | |
| 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 | 2.7% | 1,732 | 1,571 | $163K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 1,174 | 1,035 | $127K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 6,343 | 5,748 | $87K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 7,395 | 6,830 | $77K |
36 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 5,512 | $76K |
| 87070 | <1% | 4,329 | $44K | |
| 90474 | <1% | 2,113 | $42K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,672 | $15K |
| 96127 | <1% | 2,774 | $12K | |
| 99381 | <1% | 76 | $8K | |
| 81002 | <1% | 6,022 | $5K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 237 | $2K |
| 96161 | <1% | 630 | $2K | |
| 92551 | <1% | 7,121 | $2K | |
| 87420 | <1% | 135 | $2K | |
| 90670 | <1% | 3,878 | $2K | |
| 90686 | <1% | 597 | $729.10 | |
| 99173 | <1% | 6,318 | $645.34 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $524.36 |
| 90680 | <1% | 2,105 | $462.20 | |
| 90651 | <1% | 235 | $420.48 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 32 | $325.76 |
| 85018 | <1% | 664 | $324.65 | |
| 90697 | <1% | 182 | $285.07 | |
| 85004 | <1% | 22 | $143.67 | |
| 90734 | <1% | 249 | $125.20 | |
| 85014 | <1% | 22 | $52.56 | |
| 90715 | <1% | 100 | $40.11 | |
| 90723 | 0% | 531 | $0.00 | |
| 90647 | 0% | 1,260 | $0.00 | |
| 90698 | 0% | 61 | $0.00 | |
| 90677 | 0% | 377 | $0.00 | |
| 90696 | 0% | 53 | $0.00 | |
| 90716 | 0% | 39 | $0.00 | |
| 90710 | 0% | 571 | $0.00 | |
| 90633 | 0% | 787 | $0.00 | |
| 90621 | 0% | 62 | $0.00 | |
| 90685 | 0% | 28 | $0.00 | |
| 90707 | 0% | 39 | $0.00 | |
| 90700 | 0% | 12 | $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 officialWATTS,III, JOHN (VICE PRESIDENT)