Physician
Pediatric Associates of Cleveland County P.C.
Pediatric Associates of Cleveland County P.C. was paid $862K by Medicaid between Jan 2018 and Aug 2022, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF CLEVELAND COUNTY P.C.
SHELBY, NC 28150
SHELBY, NC 28150
33aNPI1942231105assigned 07/06/2006
33bProvider typePediatrics Physician
28Total paid$862K
24GClaims35,646
24DCodes billed35
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#226 of 433
Median peer was paid$942K
This provider vs. median0.9×
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 | 7,332 | $218K | |
| 2019 | 7,015 | $265K | |
| 2020 | 5,779 | $201K | |
| 2021 | 9,507 | $146K | |
| 2022 | 6,013 | $33K |
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 | 36% | 5,278 | 4,375 | $309K |
| 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 | 24% | 2,460 | 2,184 | $210K |
| 99199 | Unlisted special service, procedure or report | 8.6% | 11,637 | 7,387 | $75K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 701 | 664 | $57K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 701 | 663 | $55K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 494 | 464 | $40K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 2,035 | 1,898 | $34K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 1,167 | 1,078 | $31K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 256 | 225 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 259 | 252 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 970 | 862 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 618 | 522 | $7K |
23 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 795 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 259 | $4K |
| 96127 | <1% | 184 | $578.18 | |
| 99441 | <1% | 18 | $407.16 | |
| 81003 | <1% | 1,540 | $402.13 | |
| 99421 | <1% | 13 | $333.00 | |
| 92551 | <1% | 1,349 | $322.38 | |
| 96161 | <1% | 301 | $289.11 | |
| 85013 | <1% | 1,660 | $20.89 | |
| 90686 | <1% | 344 | $18.82 | |
| 99173 | 0% | 1,224 | $0.00 | |
| 90670 | 0% | 497 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90649 | 0% | 20 | $0.00 | |
| 90633 | 0% | 37 | $0.00 | |
| 83655 | 0% | 46 | $0.00 | |
| 90685 | 0% | 13 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90698 | 0% | 524 | $0.00 | |
| 90744 | 0% | 39 | $0.00 | |
| 90680 | 0% | 140 | $0.00 | |
| 90733 | 0% | 29 | $0.00 | |
| 90716 | 0% | 14 | $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 officialAHMED, NAJLA (PHYSICIAN)