Behavioral
Burlington Pediatrics PA
Burlington Pediatrics PA was paid $12.26M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 25% of everything it billed.
33Billing provider infoBURLINGTON PEDIATRICS PA
BURLINGTON, NC 27217
BURLINGTON, NC 27217
33aNPI1841378296assigned 11/02/2006
33bProvider typePsychologist
28Total paid$12.26M
24GClaims793,169
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in North Carolina
Rank by total paid#4 of 96
Median peer was paid$141K
This provider vs. median87×
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 | 34,416 | $1.10M | |
| 2019 | 33,384 | $1.27M | |
| 2020 | 25,508 | $860K | |
| 2021 | 90,296 | $1.62M | |
| 2022 | 197,584 | $2.52M | |
| 2023 | 222,483 | $2.48M | |
| 2024incomplete | 189,498 | $2.40M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 25% | 531,644 | 224,098 | $3.08M |
| 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 | 25% | 37,929 | 32,812 | $3.03M |
| 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% | 44,455 | 38,966 | $2.40M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.4% | 30,898 | 27,124 | $534K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 6,273 | 5,604 | $492K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 5,828 | 4,806 | $421K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.1% | 12,952 | 11,374 | $377K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 4,760 | 4,212 | $370K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.3% | 7,105 | 6,076 | $287K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 2.0% | 4,432 | 3,921 | $240K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 2,582 | 2,288 | $226K |
| 99401 | 1.8% | 7,492 | 6,068 | $220K |
58 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.2% | 5,909 | $144K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 8,213 | $56K |
| 96127 | <1% | 15,721 | $54K | |
| 99173 | <1% | 21,955 | $52K | |
| 99051 | <1% | 1,961 | $42K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,886 | $36K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,571 | $19K |
| 90474 | <1% | 857 | $15K | |
| 90686 | <1% | 10,083 | $13K | |
| 0002A | <1% | 237 | $12K | |
| 96161 | <1% | 3,968 | $12K | |
| 0072A | <1% | 187 | $12K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 328 | $11K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 195 | $11K |
| 90651 | <1% | 422 | $11K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 366 | $10K |
| 99460 | <1% | 163 | $9K | |
| 0071A | <1% | 164 | $8K | |
| 87634 | <1% | 360 | $8K | |
| 92551 | <1% | 2,872 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 738 | $5K |
| 0001A | <1% | 97 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 365 | $5K |
| 96160 | <1% | 1,453 | $4K | |
| 90734 | <1% | 290 | $3K | |
| 90620 | <1% | 95 | $3K | |
| 99242 | <1% | 39 | $3K | |
| 0054A | <1% | 36 | $2K | |
| 0082A | <1% | 27 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 28 | $1K |
| 99462 | <1% | 47 | $1K | |
| 90656 | <1% | 1,084 | $887.56 | |
| 0052A | <1% | 12 | $780.00 | |
| 96380 | <1% | 37 | $582.76 | |
| 90677 | <1% | 604 | $268.63 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 25 | $247.95 |
| 90715 | <1% | 45 | $170.86 | |
| 90647 | <1% | 912 | $84.36 | |
| 90633 | <1% | 97 | $33.10 | |
| 83655 | <1% | 13 | $29.86 | |
| 99072 | <1% | 3,539 | $26.86 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 291 | $22.28 |
| 94760 | <1% | 31 | $18.63 | |
| 36416 | <1% | 1,172 | $3.16 | |
| 91307 | <1% | 474 | $2.40 | |
| 90723 | 0% | 1,083 | $0.00 | |
| 90680 | 0% | 905 | $0.00 | |
| 99000 | 0% | 1,995 | $0.00 | |
| 91305 | 0% | 93 | $0.00 | |
| 90696 | 0% | 26 | $0.00 | |
| 90716 | 0% | 39 | $0.00 | |
| 90378 | 0% | 23 | $0.00 | |
| 90670 | 0% | 2,136 | $0.00 | |
| 91300 | 0% | 400 | $0.00 | |
| 90707 | 0% | 26 | $0.00 | |
| 90685 | 0% | 28 | $0.00 | |
| 90710 | 0% | 26 | $0.00 | |
| 91308 | 0% | 70 | $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 officialMERTZ, DAVID (MANAGING PHYSICIAN)