Physician
Western Wake Pediatrics, PA
Western Wake Pediatrics, PA was paid $4.14M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoWESTERN WAKE PEDIATRICS, PA
CARY, NC 27511
CARY, NC 27511
33aNPI1942251251assigned 05/12/2006
33bProvider typePediatrics Physician
28Total paid$4.14M
24GClaims239,350
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#99 of 433
Median peer was paid$942K
This provider vs. median4.4×
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 | 11,321 | $379K | |
| 2019 | 11,195 | $504K | |
| 2020 | 9,440 | $403K | |
| 2021 | 30,546 | $631K | |
| 2022 | 59,963 | $755K | |
| 2023 | 57,670 | $718K | |
| 2024incomplete | 59,215 | $755K |
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% | 13,878 | 12,940 | $1.27M |
| 99199 | Unlisted special service, procedure or report | 27% | 168,757 | 86,256 | $1.12M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 8,644 | 8,121 | $536K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.9% | 8,561 | 8,077 | $370K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 1,651 | 1,614 | $150K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.6% | 1,658 | 1,583 | $148K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 1,239 | 1,165 | $106K |
| 99401 | 2.0% | 2,343 | 2,219 | $83K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 724 | 685 | $71K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 1,749 | 1,639 | $63K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 2,657 | 2,473 | $51K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 313 | 292 | $38K |
43 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,802 | $29K |
| 92552 | <1% | 3,053 | $19K | |
| 96127 | <1% | 3,026 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 874 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 893 | $8K |
| 90686 | <1% | 5,193 | $7K | |
| 0002A | <1% | 101 | $7K | |
| 90480 | <1% | 174 | $7K | |
| 0071A | <1% | 102 | $7K | |
| 0072A | <1% | 87 | $6K | |
| 0001A | <1% | 84 | $5K | |
| 99173 | <1% | 3,201 | $4K | |
| 87428 | <1% | 68 | $4K | |
| 90651 | <1% | 46 | $2K | |
| 99051 | <1% | 39 | $1K | |
| 0082A | <1% | 14 | $906.40 | |
| 85018 | <1% | 276 | $774.25 | |
| 90734 | <1% | 40 | $752.90 | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 25 | $707.71 |
| 96161 | <1% | 206 | $672.05 | |
| 90620 | <1% | 12 | $579.15 | |
| 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% | 17 | $492.32 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $393.12 |
| 99050 | <1% | 12 | $317.76 | |
| 99441 | <1% | 13 | $164.64 | |
| 90656 | <1% | 353 | $138.77 | |
| 94760 | <1% | 2,616 | $4.14 | |
| 90723 | <1% | 240 | $0.11 | |
| 90680 | <1% | 187 | $0.10 | |
| 90670 | <1% | 661 | $0.01 | |
| 99000 | 0% | 205 | $0.00 | |
| 92558 | 0% | 201 | $0.00 | |
| 36416 | 0% | 899 | $0.00 | |
| 90677 | 0% | 65 | $0.00 | |
| 90647 | 0% | 27 | $0.00 | |
| 91307 | 0% | 321 | $0.00 | |
| 91318 | 0% | 20 | $0.00 | |
| 90648 | 0% | 621 | $0.00 | |
| 90653 | 0% | 25 | $0.00 | |
| 91300 | 0% | 253 | $0.00 | |
| 99177 | 0% | 60 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 91308 | 0% | 39 | $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 officialBUENO, NATACHA (OFFICE MANAGER)