Physician
Asheville Medicine & Pediatrics, LTD
Asheville Medicine & Pediatrics, LTD was paid $393K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoASHEVILLE MEDICINE & PEDIATRICS, LTD
ARDEN, NC 28704
ARDEN, NC 28704
33aNPI1871780254assigned 09/28/2007
33bProvider typePediatrics Physician
28Total paid$393K
24GClaims44,285
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#269 of 433
Median peer was paid$942K
This provider vs. median0.4×
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 | 345 | $15K | |
| 2019 | 556 | $27K | |
| 2020 | 452 | $20K | |
| 2021 | 5,191 | $64K | |
| 2022 | 12,381 | $100K | |
| 2023 | 11,854 | $98K | |
| 2024incomplete | 13,506 | $68K |
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 | 46% | 3,286 | 2,501 | $181K |
| 99199 | Unlisted special service, procedure or report | 38% | 39,372 | 22,582 | $150K |
| 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 | 8.5% | 463 | 321 | $33K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.9% | 581 | 432 | $15K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.0% | 200 | 133 | $8K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.2% | 99 | 69 | $5K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18 | 16 | $279.15 |
| 99173 | <1% | 12 | 12 | $50.62 | |
| 96127 | <1% | 13 | 12 | $44.60 | |
| 90656 | <1% | 19 | 17 | $20.53 | |
| 90686 | <1% | 222 | 136 | $19.19 |
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 officialSCHAU, CAREN (PRACTICE MANAGER)