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    OpenPayerNPI Medicare & MedicaidUniversity Pediatrics
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    University Pediatrics — Billing Profile & Reimbursement Data

    NPI 1073541124 · Charlotte, NC · Pediatrics Physician

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    University Pediatrics is a pediatrics physician provider located in Charlotte, North Carolina. This profile covers 0 Medicare and 59 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationUniversity Pediatrics
    Address101 E W T Harris Blvd
    CityCharlotte
    StateNC
    ZIP28262
    TaxonomyPediatrics Physician
    NPI EnumeratedJune 29, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99199Use this code to report other medicine services or procedures for which there is no specific code available.321,300$10$1.6M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…24,040$60$1.5M
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…17,510$80$1.4M
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…12,500$90$1.1M
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.15,750$30$472.4K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.24,900$20$423.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…4,260$90$383.8K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.7,300$50$364.9K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.3,820$90$351.3K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…24,860$1$99.4K

    Showing 1–10 of 59

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Carolina median

    59 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99199Use this code to report other medicine services or procedures for which there is no specific code available.1002,85010,910$10$330.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,0014,400960$60$271.3K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…175201,080$80$262.1K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…29550970$90$258.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1684,130670$50$219.9K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.99590490$90$179.8K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.62380460$40$173.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.164330300$10$142.3K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.161530270$90$112.8K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.27630840$30$101.2K

    Showing 1–10 of 59

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with University Pediatrics, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolinas Medical CenterNCGeneral Acute Care Hospital$0$178.2M
    Carolinas Medical CenterNCSurgical Critical Care Physician$0$52.9M
    Carolinas Physicians Network IncNCPsychologist$0$29.4M
    Carolinas Medical CenterNCPsychiatric Hospital Unit$0$20.6M
    Carolinas Medical CenterNCPediatrics Physician$0$17.8M
    Carolinas Medical CenterNCAmbulance$0$17M
    Carolinas Medical CenterNCGeneral Practice Physician$0$16.6M
    Carolinas Medical CenterNCChild & Adolescent Psychiatry Physician$0$16.6M
    Cotswold Family MedicineNCFamily Medicine Physician$0$12.2M
    Carolinas Medical CenterNCObstetrics & Gynecology Physician$0$11.8M

    Nearby Providers

    Other providers in the same ZIP code as University Pediatrics, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Acumen Of North Carolina, LLCNCIn Home Supportive Care Agency$0$134.4M
    Care Well Of Charlotte IncNCIn Home Supportive Care Agency$0$74.4M
    The Charlotte-mecklenburg Hospital AuthorityNCGeneral Acute Care Hospital$0$42.8M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$40.8M
    Bayada Home Health Care, Inc.NCCommunity/Behavioral Health Agency$0$38.2M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$37.5M
    Valleygate Dental Surgery Center Of Charlotte LLCNCAmbulatory Surgical Clinic/Center$0$26.3M
    Infinium Health Services LLCNCNursing Care Agency$0$18.3M
    Continuum Care Services, Inc.NCCommunity/Behavioral Health Agency$0$16.1M
    Novant Health Medical Group, LLCNCInternal Medicine Physician$0$15.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    University Pediatrics — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina