Physician
Piedmont Adult & Pediatric Medicine Associates PA
Piedmont Adult & Pediatric Medicine Associates PA was paid $5.95M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoPIEDMONT ADULT & PEDIATRIC MEDICINE ASSOCIATES PA
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1851362503assigned 01/31/2006
33bProvider typePediatrics Physician
28Total paid$5.95M
24GClaims359,859
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#68 of 433
Median peer was paid$942K
This provider vs. median6.3×
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 | 18,224 | $660K | |
| 2019 | 17,900 | $780K | |
| 2020 | 14,610 | $587K | |
| 2021 | 39,251 | $888K | |
| 2022 | 82,684 | $1.08M | |
| 2023 | 94,426 | $1.06M | |
| 2024incomplete | 92,764 | $895K |
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 | 28% | 29,059 | 24,777 | $1.66M |
| 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 | 23% | 17,487 | 15,221 | $1.38M |
| 99199 | Unlisted special service, procedure or report | 16% | 228,633 | 137,052 | $935K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 3,819 | 3,554 | $368K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 3,934 | 3,459 | $354K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 3,806 | 3,467 | $342K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 2,392 | 2,092 | $232K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 4,743 | 4,425 | $158K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 6,753 | 6,193 | $130K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 2,389 | 2,063 | $83K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 5,628 | 2,682 | $76K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 1,759 | 1,581 | $67K |
47 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,141 | $47K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,049 | $27K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 210 | $19K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 139 | $13K |
| 92551 | <1% | 8,107 | $10K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 153 | $7K |
| 99173 | <1% | 9,324 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 56 | $5K |
| 87807 | <1% | 386 | $5K | |
| 90651 | <1% | 242 | $4K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 565 | $3K |
| 90474 | <1% | 117 | $2K | |
| 92552 | <1% | 541 | $2K | |
| 96127 | <1% | 575 | $2K | |
| 90734 | <1% | 110 | $2K | |
| 99051 | <1% | 58 | $1K | |
| 99442 | <1% | 19 | $1K | |
| 81005 | <1% | 165 | $400.72 | |
| 90688 | <1% | 236 | $376.05 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 21 | $360.51 |
| 80053 | Comprehensive metabolic panel | <1% | 49 | $343.86 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 35 | $341.70 |
| 90633 | <1% | 441 | $267.81 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 136 | $240.90 |
| 81003 | <1% | 98 | $202.21 | |
| 90649 | <1% | 59 | $164.54 | |
| 90715 | <1% | 16 | $116.79 | |
| 90686 | <1% | 277 | $85.00 | |
| 85014 | <1% | 12 | $5.84 | |
| 85018 | <1% | 12 | $5.84 | |
| 3078F | 0% | 6,134 | $0.00 | |
| 90670 | 0% | 1,974 | $0.00 | |
| 90710 | 0% | 168 | $0.00 | |
| 99072 | 0% | 1,606 | $0.00 | |
| 3077F | 0% | 117 | $0.00 | |
| 90681 | 0% | 55 | $0.00 | |
| 90700 | 0% | 27 | $0.00 | |
| 90647 | 0% | 872 | $0.00 | |
| 3074F | 0% | 6,473 | $0.00 | |
| 90723 | 0% | 1,066 | $0.00 | |
| 3075F | 0% | 339 | $0.00 | |
| 3079F | 0% | 890 | $0.00 | |
| 90680 | 0% | 220 | $0.00 | |
| 3008F | 0% | 16 | $0.00 | |
| 99000 | 0% | 48 | $0.00 | |
| 3044F | 0% | 34 | $0.00 | |
| 90696 | 0% | 69 | $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 officialDELLINGER, AMY (OFFICE MANAGER)