Physician
Kinston Pediatric Associates PA
Kinston Pediatric Associates PA was paid $15.45M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.
33Billing provider infoKINSTON PEDIATRIC ASSOCIATES PA
KINSTON, NC 28502
KINSTON, NC 28502
33aNPI1871577197assigned 11/30/2005
33bProvider typePediatrics Physician
28Total paid$15.45M
24GClaims765,371
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#17 of 433
Median peer was paid$942K
This provider vs. median16×
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 | 43,818 | $1.71M | |
| 2019 | 46,696 | $2.12M | |
| 2020 | 37,186 | $1.68M | |
| 2021 | 89,818 | $2.20M | |
| 2022 | 177,908 | $2.76M | |
| 2023 | 179,713 | $2.59M | |
| 2024incomplete | 190,232 | $2.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 64,390 | 55,550 | $5.90M |
| 99199 | Unlisted special service, procedure or report | 16% | 438,953 | 275,168 | $2.40M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 37,300 | 30,587 | $2.32M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 26,475 | 24,101 | $1.24M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 9,480 | 8,458 | $829K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 7,845 | 7,128 | $717K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 5,586 | 5,096 | $506K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 26,545 | 23,457 | $350K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.1% | 35,056 | 31,153 | $318K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 2,971 | 2,664 | $292K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 16,571 | 7,498 | $217K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 2,042 | 1,837 | $75K |
41 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,816 | $69K |
| 96127 | <1% | 12,222 | $51K | |
| 81003 | <1% | 14,036 | $36K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 207 | $28K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 460 | $17K |
| 92551 | <1% | 17,086 | $14K | |
| 99050 | <1% | 362 | $9K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 704 | $9K |
| 83655 | <1% | 584 | $9K | |
| 90651 | <1% | 562 | $8K | |
| D1206 | Topical application of fluoride varnish | <1% | 460 | $7K |
| 90686 | <1% | 6,291 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 552 | $5K |
| 87807 | <1% | 318 | $4K | |
| 99173 | <1% | 19,112 | $4K | |
| 99460 | <1% | 44 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 30 | $2K |
| 90734 | <1% | 156 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 669 | $2K |
| 86308 | <1% | 176 | $1K | |
| 99070 | <1% | 166 | $791.28 | |
| 90619 | <1% | 173 | $761.99 | |
| 90633 | <1% | 1,570 | $353.14 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $231.42 |
| 90715 | <1% | 24 | $129.75 | |
| 90670 | 0% | 5,940 | $0.00 | |
| 90700 | 0% | 53 | $0.00 | |
| 90685 | 0% | 499 | $0.00 | |
| 90707 | 0% | 13 | $0.00 | |
| 90621 | 0% | 17 | $0.00 | |
| 90710 | 0% | 53 | $0.00 | |
| 90680 | 0% | 2,464 | $0.00 | |
| 90647 | 0% | 2,575 | $0.00 | |
| 90723 | 0% | 1,186 | $0.00 | |
| 90744 | 0% | 77 | $0.00 | |
| 90677 | 0% | 473 | $0.00 | |
| 90697 | 0% | 321 | $0.00 | |
| 90698 | 0% | 226 | $0.00 | |
| 90696 | 0% | 53 | $0.00 | |
| 90656 | 0% | 400 | $0.00 | |
| 90716 | 0% | 13 | $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 officialRIDDLE, DONALD (MD/PRESIDENT)