Physician
Tots N Teens Pediatrics PLLC
Tots N Teens Pediatrics PLLC was paid $926K by Medicaid between Mar 2019 and Dec 2024, across 26 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 25% of everything it billed.
33Billing provider infoTOTS N TEENS PEDIATRICS PLLC
CARY, NC 27518
CARY, NC 27518
33aNPI1760633994assigned 10/07/2008
33bProvider typePediatrics Physician
28Total paid$926K
24GClaims60,204
24DCodes billed26
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#220 of 433
Median peer was paid$942K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2019 | 2,704 | $96K | |
| 2020 | 2,839 | $112K | |
| 2021 | 8,125 | $154K | |
| 2022 | 15,054 | $199K | |
| 2023 | 16,079 | $194K | |
| 2024incomplete | 15,403 | $171K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 25% | 40,522 | 23,995 | $236K |
| 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 | 24% | 2,309 | 1,877 | $218K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 2,852 | 2,214 | $181K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 520 | 443 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.3% | 512 | 441 | $49K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 2,612 | 2,152 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 1,035 | 863 | $41K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.0% | 1,111 | 926 | $37K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 2,556 | 2,240 | $23K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 258 | 237 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 239 | 200 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 50 | 46 | $5K |
14 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 51 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 258 | $4K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 98 | $4K |
| 92551 | <1% | 1,734 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 163 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 59 | $2K |
| 99173 | <1% | 1,715 | $2K | |
| 90473 | <1% | 81 | $1K | |
| 96127 | <1% | 125 | $783.16 | |
| 90686 | <1% | 1,032 | $164.81 | |
| 90672 | <1% | 246 | $47.28 | |
| 91307 | 0% | 23 | $0.00 | |
| 90651 | 0% | 17 | $0.00 | |
| 90670 | 0% | 26 | $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 officialSADAGOPAN, RADHIKA (ORGANIZER)