Clinic
Pineville Pediatrics,pllc
Pineville Pediatrics,pllc was paid $1.18M by Medicaid between Jul 2021 and Dec 2024, across 31 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 33% of everything it billed.
33Billing provider infoPINEVILLE PEDIATRICS,PLLC
CHARLOTTE, NC 28226
CHARLOTTE, NC 28226
33aNPI1679913651assigned 07/05/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$1.18M
24GClaims95,810
24DCodes billed31
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#24 of 116
Median peer was paid$226K
This provider vs. median5.2×
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 | 11,693 | $178K | |
| 2022 | 26,173 | $358K | |
| 2023 | 30,345 | $366K | |
| 2024incomplete | 27,599 | $275K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 33% | 71,035 | 45,185 | $389K |
| 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 | 19% | 2,477 | 1,800 | $221K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 974 | 703 | $120K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.3% | 1,855 | 1,274 | $110K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.7% | 867 | 639 | $79K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 611 | 448 | $60K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 1,627 | 1,141 | $28K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 771 | 521 | $28K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.8% | 632 | 484 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 221 | 153 | $21K |
| 99058 | 1.3% | 1,151 | 827 | $15K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 348 | 236 | $14K |
19 more codes
| 92551 | 1.1% | 2,166 | $13K | |
| 83718 | <1% | 1,274 | $10K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 696 | $9K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 690 | $8K |
| 96127 | <1% | 1,885 | $6K | |
| 85018 | <1% | 2,402 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 809 | $5K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 51 | $5K |
| 90651 | <1% | 119 | $4K | |
| 99173 | <1% | 2,262 | $2K | |
| 80061 | Lipid panel | <1% | 112 | $1K |
| 82465 | <1% | 306 | $860.26 | |
| 87807 | <1% | 21 | $222.60 | |
| 90734 | <1% | 47 | $152.44 | |
| 90658 | <1% | 308 | $19.10 | |
| 90716 | 0% | 39 | $0.00 | |
| 99000 | 0% | 14 | $0.00 | |
| 90707 | 0% | 19 | $0.00 | |
| 90670 | 0% | 21 | $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 officialJAMMALAMADAKA, SATYA (MD)