Physician
Central Pediatrics & Internal Medicine, PA
Central Pediatrics & Internal Medicine, PA was paid $3.19M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoCENTRAL PEDIATRICS & INTERNAL MEDICINE, PA
CHARLOTTE, NC 28205
CHARLOTTE, NC 28205
33aNPI1871977249assigned 07/16/2015
33bProvider typeInternal Medicine Physician
28Total paid$3.19M
24GClaims182,982
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#19 of 616
Median peer was paid$74K
This provider vs. median43×
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 | 6,765 | $288K | |
| 2019 | 10,142 | $323K | |
| 2020 | 8,132 | $251K | |
| 2021 | 19,803 | $379K | |
| 2022 | 33,373 | $453K | |
| 2023 | 52,220 | $819K | |
| 2024incomplete | 52,547 | $675K |
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 | 21% | 8,003 | 6,471 | $668K |
| 99199 | Unlisted special service, procedure or report | 17% | 90,451 | 53,818 | $547K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 9,161 | 7,217 | $537K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 5.2% | 703 | 162 | $166K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 1,650 | 1,415 | $149K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 1,294 | 1,077 | $120K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.2% | 2,749 | 2,262 | $103K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 1,117 | 942 | $97K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.9% | 11,127 | 9,120 | $92K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 6,385 | 2,772 | $80K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.4% | 360 | 332 | $75K |
| 99442 | 2.3% | 1,570 | 1,245 | $72K |
66 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 5,709 | $72K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 3,809 | $68K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 2,417 | $65K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 4,322 | $33K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 356 | $28K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,469 | $24K |
| 99401 | <1% | 698 | $22K | |
| 92552 | <1% | 4,274 | $21K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 155 | $19K |
| 81025 | <1% | 2,774 | $17K | |
| 81002 | <1% | 7,379 | $15K | |
| 99051 | <1% | 702 | $15K | |
| 87428 | <1% | 208 | $10K | |
| 93000 | <1% | 772 | $10K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 123 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 205 | $7K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,591 | $6K |
| 96101 | <1% | 78 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 108 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 50 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 235 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 256 | $3K |
| 0071A | <1% | 78 | $3K | |
| 95117 | <1% | 312 | $3K | |
| 96127 | <1% | 585 | $2K | |
| 0072A | <1% | 56 | $2K | |
| 99384 | <1% | 24 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 110 | $2K |
| 99441 | <1% | 65 | $2K | |
| 99383 | <1% | 13 | $935.04 | |
| 82947 | <1% | 232 | $741.08 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 106 | $634.26 |
| 94010 | <1% | 16 | $358.12 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 46 | $347.13 |
| 99173 | <1% | 4,287 | $307.00 | |
| 99070 | <1% | 47 | $250.56 | |
| 90686 | <1% | 274 | $57.51 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 15 | $1.96 |
| 1111F | <1% | 115 | $0.16 | |
| 3044F | <1% | 26 | $0.07 | |
| 3080F | <1% | 165 | $0.05 | |
| 3077F | <1% | 201 | $0.05 | |
| 90651 | 0% | 385 | $0.00 | |
| 90619 | 0% | 340 | $0.00 | |
| 90696 | 0% | 36 | $0.00 | |
| 90656 | 0% | 49 | $0.00 | |
| 90744 | 0% | 32 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 89 | $0.00 |
| 91307 | 0% | 117 | $0.00 | |
| 90680 | 0% | 32 | $0.00 | |
| 90697 | 0% | 44 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 90621 | 0% | 89 | $0.00 | |
| 90713 | 0% | 161 | $0.00 | |
| 90670 | 0% | 441 | $0.00 | |
| 90734 | 0% | 109 | $0.00 | |
| 90633 | 0% | 131 | $0.00 | |
| 90700 | 0% | 207 | $0.00 | |
| 90715 | 0% | 165 | $0.00 | |
| 90710 | 0% | 163 | $0.00 | |
| 90658 | 0% | 57 | $0.00 | |
| 90649 | 0% | 16 | $0.00 | |
| 90648 | 0% | 100 | $0.00 | |
| 91300 | 0% | 85 | $0.00 | |
| 1160F | 0% | 74 | $0.00 | |
| 90707 | 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 officialTOKUNBOH, JULIUS (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Grace Pediatric Clinic, P.A. | Charlotte, NC | $3.20M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.