Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

SALISBURY PEDIATRIC ASSOCIATES PA

Pediatrics, Adolescent Medicine·SALISBURY, NC·NPI: 1598862732Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$25.8M

$25,786,454

Total Claims

1.2M

Beneficiaries

849K

1.4 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+14%
2019
$3.0M
-18%
2020
$2.5M
+42%
2021
$3.5M
+30%
2022
$4.6M
+9%
2023
$5.0M
-8%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 26% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$6.7M

76K claims · 25.9%

Your Cost: $88.10/claim|Median: $53.41
1.6× median
99199Top 25%

Unlisted special service, procedure, or report

$4.8M

668K claims · 18.6%

Your Cost: $7.20/claim|Median: $5.39
1.3× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$4.4M

72K claims · 16.9%

Your Cost: $60.25/claim|Median: $37.81
1.6× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$1.8M

21K claims · 7.0%

Your Cost: $85.22/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

17K claims · 5.7%

Your Cost: $85.85/claim|Median: $75.18
1.1× median
99050Top 25%

$1.2M

49K claims · 4.7%

Your Cost: $24.48/claim|Median: $11.81
2.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$1.1M

13K claims · 4.3%

Your Cost: $85.24/claim|Median: $74.82
1.1× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$872K

23K claims · 3.4%

Your Cost: $38.59/claim|Median: $17.85
2.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$740K

8,311 claims · 2.9%

Your Cost: $89.01/claim|Median: $80.15
1.1× median
90471Top 10%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$517K

26K claims · 2.0%

Your Cost: $19.56/claim|Median: $9.80
2.0× median
90472Top 10%

Immunization administration, each additional vaccine

$398K

13K claims · 1.5%

Your Cost: $29.93/claim|Median: $11.79
2.5× median
96110Normal range

Developmental screening, per standardized instrument

$191K

21K claims · 0.7%

Your Cost: $9.22/claim|Median: $9.10
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$188K

5,614 claims · 0.7%

Your Cost: $33.57/claim|Median: $57.30
0.6× median
G2023Normal range

Specimen collection for COVID-19 testing

$185K

9,302 claims · 0.7%

Your Cost: $19.83/claim|Median: $17.15
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$179K

14K claims · 0.7%

Your Cost: $12.89/claim|Median: $11.48
1.1× median
87804Normal range

Influenza virus detection, rapid test

$158K

12K claims · 0.6%

Your Cost: $12.94/claim|Median: $12.59
1.0× median
99401Top 25%

$138K

4,652 claims · 0.5%

Your Cost: $29.72/claim|Median: $16.53
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$88K

831 claims · 0.3%

Your Cost: $105.77/claim|Median: $74.09
1.4× median
87070Top 25%

Bacterial culture, any source except blood or urine

$88K

9,038 claims · 0.3%

Your Cost: $9.70/claim|Median: $5.89
1.6× median
D1206Normal range

Topical application of fluoride varnish

$83K

5,617 claims · 0.3%

Your Cost: $14.80/claim|Median: $18.12
0.8× median
92551Normal range

Screening audiometry, pure tone, air only

$55K

28K claims · 0.2%

Your Cost: $1.96/claim|Median: $6.61
0.3× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$44K

1,183 claims · 0.2%

Your Cost: $37.13/claim|Median: $30.53
1.2× median
90474Top 5%

$44K

2,173 claims · 0.2%

Your Cost: $20.16/claim|Median: $8.42
2.4× median
90837Normal range

Psychotherapy, 60 minutes

$39K

401 claims · 0.2%

Your Cost: $98.09/claim|Median: $85.66
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$36K

594 claims · 0.1%

Your Cost: $60.83/claim|Median: $37.22
1.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$35K

9,007 claims · 0.1%

Your Cost: $3.90/claim|Median: $3.67
1.1× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$34K

473 claims · 0.1%

Your Cost: $72.62/claim|Median: $62.48
1.2× median
90651Top 25%

HPV vaccine, 9-valent

$28K

1,141 claims · 0.1%

Your Cost: $24.16/claim|Median: $8.93
2.7× median
99212Normal range

Office/outpatient visit, low complexity

$26K

758 claims · 0.1%

Your Cost: $34.69/claim|Median: $25.06
1.4× median
99173Normal range

$23K

31K claims · 0.1%

Your Cost: $0.74/claim|Median: $2.16
0.3× median
83655Top 25%

$17K

1,291 claims · 0.1%

Your Cost: $13.53/claim|Median: $10.49
1.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$13K

12K claims · 0.1%

Your Cost: $1.08/claim|Median: $7.18
0.1× median
90734Top 25%

$13K

725 claims · 0.0%

Your Cost: $17.78/claim|Median: $6.40
2.8× median
81025Top 25%

Urine pregnancy test

$11K

1,622 claims · 0.0%

Your Cost: $6.63/claim|Median: $4.81
1.4× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$10K

193 claims · 0.0%

Your Cost: $50.40/claim|Median: $36.70
1.4× median
99462Normal range

$9K

291 claims · 0.0%

Your Cost: $32.59/claim|Median: $27.49
1.2× median
94375Normal range

$9K

348 claims · 0.0%

Your Cost: $27.09/claim|Median: $17.23
1.6× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$8K

172 claims · 0.0%

Your Cost: $47.04/claim|Median: $33.72
1.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$7K

860 claims · 0.0%

Your Cost: $8.72/claim|Median: $4.71
1.9× median
90791Top 25%

Psychiatric diagnostic evaluation

$7K

52 claims · 0.0%

Your Cost: $127.86/claim|Median: $99.21
1.3× median
0071ATop 25%

$5K

126 claims · 0.0%

Your Cost: $42.46/claim|Median: $38.71
1.1× median
96160Normal range

Patient-focused health risk assessment

$5K

1,859 claims · 0.0%

Your Cost: $2.81/claim|Median: $2.10
1.3× median
90461Normal range

Immunization admin, additional vaccine, counseling

$5K

347 claims · 0.0%

Your Cost: $14.37/claim|Median: $6.93
2.1× median
A4627Top 10%

$4K

76 claims · 0.0%

Your Cost: $51.77/claim|Median: $21.89
2.4× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$3K

29 claims · 0.0%

Your Cost: $112.24/claim|Median: $108.91
1.0× median
90785Normal range

$3K

2,822 claims · 0.0%

Your Cost: $1.03/claim|Median: $6.43
0.2× median
87807Top 25%

$2K

174 claims · 0.0%

Your Cost: $11.73/claim|Median: $10.06
1.2× median
90633Normal range

$2K

3,130 claims · 0.0%

Your Cost: $0.64/claim|Median: $3.56
0.2× median
0072ATop 25%

$2K

38 claims · 0.0%

Your Cost: $49.65/claim|Median: $39.57
1.3× median
90619Normal range

$2K

557 claims · 0.0%

Your Cost: $3.28/claim|Median: $8.36
0.4× median

Other Top Providers in North Carolina

View all →

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$1.44B

Aeroflow INC

Durable Medical Equipment & Medical Supplies

$571.7M

Abound Health, LLC

In Home Supportive Care

$324.3M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$281.4M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

← All providersAll providers in North Carolina →How we detect fraud →