Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Burgaw › NPI 1902165038
Physician

Justice, Andrew

Justice, Andrew was paid $456K by Medicaid between Jul 2021 and Feb 2023, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoJUSTICE, ANDREW
BURGAW, NC 28425
33aNPI1902165038assigned 05/09/2012
33bProvider typePediatrics Physician
28Total paid$456K
24GClaims23,154
24DCodes billed60
24AFirst – last monthJul 2021 – Feb 2023
Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#260 of 433
Median peer was paid$942K
This provider vs. median0.5×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
202110,332$201K
202211,734$236K
20231,088$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 1,433 976 $90K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10% 3,235 2,308 $47K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 9.9% 567 431 $45K
90472 Immunization administration, each additional vaccine (list separately) 9.7% 1,826 1,307 $44K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.1% 452 342 $41K
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% 382 285 $39K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.5% 435 329 $20K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4.4% 739 531 $20K
0001A 3.8% 544 381 $17K
0002A 2.9% 423 312 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.1% 119 83 $10K
D0145 Oral evaluation for a patient under three years of age 2.1% 252 190 $9K
48 more codes
0072A 1.7% 184 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.2% 505 $5K
0071A 1.1% 138 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.1% 52 $5K
D1206 Topical application of fluoride varnish <1% 269 $4K
0011A <1% 105 $4K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel <1% 143 $3K
92551 <1% 596 $3K
0052A <1% 70 $3K
0054A <1% 52 $2K
90474 <1% 132 $2K
81025 <1% 319 $1K
0012A <1% 33 $1K
90651 <1% 376 $1K
90686 <1% 1,509 $1K
90715 <1% 351 $1K
90734 <1% 572 $1K
0074A <1% 24 $975.00
0064A <1% 21 $910.00
90620 <1% 240 $865.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 316 $826.28
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 314 $826.28
0051A <1% 21 $780.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 35 $667.03
81003 <1% 183 $352.14
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 251 $330.15
87210 <1% 85 $272.23
85018 <1% 204 $255.37
99173 <1% 598 $234.42
83655 <1% 116 $183.24
82947 <1% 18 $158.18
90473 <1% 49 $68.45
86592 <1% 240 $63.90
82120 <1% 85 $37.81
90619 <1% 98 $0.03
91300 0% 659 $0.00
90633 0% 390 $0.00
90710 0% 277 $0.00
90670 0% 688 $0.00
90700 0% 38 $0.00
90680 0% 424 $0.00
90647 0% 484 $0.00
90723 0% 324 $0.00
91307 0% 350 $0.00
90698 0% 45 $0.00
91301 0% 548 $0.00
91305 0% 195 $0.00
91306 0% 21 $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.