Hendersonville Pediatrics, P.A.
Hendersonville Pediatrics, P.A. was paid $24.25M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoHENDERSONVILLE PEDIATRICS, P.A.
HENDERSONVILLE, NC 28792
HENDERSONVILLE, NC 28792
33aNPI1912966656assigned 03/21/2006
33bProvider typeSpecialist
28Total paid$24.25M
24GClaims1,005,472
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#2 of 172
Median peer was paid$83K
This provider vs. median294×
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 | 59,243 | $2.25M | |
| 2019 | 61,714 | $2.90M | |
| 2020 | 51,284 | $2.50M | |
| 2021 | 123,398 | $3.71M | |
| 2022 | 235,612 | $4.67M | |
| 2023 | 237,509 | $4.56M | |
| 2024incomplete | 236,712 | $3.66M |
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 | 31% | 79,833 | 69,399 | $7.54M |
| 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% | 62,720 | 52,703 | $4.12M |
| 99199 | Unlisted special service, procedure or report | 11% | 536,722 | 260,683 | $2.55M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.6% | 14,283 | 12,582 | $1.36M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 14,353 | 11,513 | $1.26M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 10,182 | 9,044 | $979K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 4.0% | 15,292 | 13,223 | $966K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.3% | 28,246 | 24,765 | $805K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 3.2% | 6,022 | 5,379 | $786K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.1% | 15,665 | 12,822 | $755K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 37,772 | 33,009 | $738K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.4% | 19,280 | 16,888 | $584K |
58 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 5,287 | $554K |
| 99051 | <1% | 9,539 | $241K | |
| 96127 | <1% | 47,515 | $195K | |
| 87634 | <1% | 4,079 | $116K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,065 | $116K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 10,465 | $94K |
| 92552 | <1% | 16,772 | $85K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 2,406 | $79K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,275 | $59K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 497 | $58K |
| D1206 | Topical application of fluoride varnish | <1% | 2,441 | $35K |
| 90474 | <1% | 1,570 | $30K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,005 | $28K |
| 90671 | <1% | 362 | $21K | |
| 99173 | <1% | 19,155 | $12K | |
| 83655 | <1% | 823 | $11K | |
| 90686 | <1% | 10,671 | $11K | |
| 96161 | <1% | 2,565 | $9K | |
| 90651 | <1% | 339 | $9K | |
| 99401 | <1% | 230 | $8K | |
| 90734 | <1% | 324 | $7K | |
| 87807 | <1% | 410 | $6K | |
| 0072A | <1% | 48 | $3K | |
| 81003 | <1% | 1,110 | $2K | |
| 92587 | <1% | 97 | $2K | |
| 0071A | <1% | 46 | $2K | |
| 80061 | Lipid panel | <1% | 130 | $2K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 29 | $2K |
| 86308 | <1% | 259 | $2K | |
| 97802 | <1% | 27 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 65 | $1K |
| 82947 | <1% | 230 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 31 | $979.16 |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 32 | $848.14 |
| 69210 | <1% | 31 | $833.36 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 54 | $735.30 |
| 90619 | <1% | 99 | $480.09 | |
| 99441 | <1% | 19 | $475.02 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 32 | $315.58 |
| 90633 | <1% | 960 | $277.28 | |
| 90715 | <1% | 15 | $144.54 | |
| 99177 | <1% | 240 | $123.02 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 43 | $111.37 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 56 | $77.98 |
| 90656 | <1% | 227 | $53.80 | |
| 90696 | <1% | 31 | $51.63 | |
| 90744 | <1% | 829 | $24.86 | |
| 90670 | <1% | 4,539 | $2.08 | |
| 90698 | <1% | 3,171 | $0.99 | |
| 90677 | <1% | 600 | $0.19 | |
| 90680 | <1% | 1,854 | $0.10 | |
| 90685 | 0% | 555 | $0.00 | |
| 90710 | 0% | 44 | $0.00 | |
| 90700 | 0% | 17 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,418 | $0.00 |
| 91307 | 0% | 267 | $0.00 | |
| 90688 | 0% | 87 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 15 | $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 officialHYDER, TAMARA (PRACTICE MANAGER)