Physician
Southside Medical Center PA
Southside Medical Center PA was paid $803K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 38% of everything it billed.
33Billing provider infoSOUTHSIDE MEDICAL CENTER PA
WILMINGTON, NC 28403
WILMINGTON, NC 28403
33aNPI1003099409assigned 12/10/2007
33bProvider typeFamily Medicine Physician
28Total paid$803K
24GClaims87,898
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#174 of 960
Median peer was paid$135K
This provider vs. median5.9×
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 | 4,992 | $83K | |
| 2019 | 3,506 | $88K | |
| 2020 | 2,730 | $77K | |
| 2021 | 7,671 | $109K | |
| 2022 | 16,631 | $118K | |
| 2023 | 20,930 | $126K | |
| 2024incomplete | 31,438 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 38% | 56,985 | 29,693 | $306K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 7,635 | 6,193 | $261K |
| 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% | 4,695 | 3,925 | $190K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.8% | 2,334 | 1,599 | $23K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 149 | 127 | $7K |
| 99443 | <1% | 171 | 123 | $4K | |
| 80305 | <1% | 484 | 431 | $3K | |
| 82962 | <1% | 3,040 | 2,395 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 12 | $1K |
| 93000 | <1% | 131 | 122 | $1K | |
| 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% | 536 | 448 | $926.59 |
| 36415 | Collection of venous blood by venipuncture | <1% | 657 | 583 | $907.20 |
29 more codes
| 81003 | <1% | 289 | $410.58 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 507 | $259.67 |
| 99490 | Ccm add 20min | <1% | 20 | $205.51 |
| 99441 | <1% | 27 | $187.68 | |
| 99051 | <1% | 12 | $166.80 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 47 | $145.58 |
| 99406 | <1% | 47 | $127.27 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 168 | $57.29 |
| 82570 | <1% | 13 | $44.66 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 22 | $31.57 |
| 82044 | <1% | 13 | $24.71 | |
| 83037 | <1% | 14 | $7.19 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 81 | $0.00 |
| 1159F | 0% | 1,108 | $0.00 | |
| 3078F | 0% | 1,187 | $0.00 | |
| 1160F | 0% | 1,107 | $0.00 | |
| 99072 | 0% | 155 | $0.00 | |
| 3077F | 0% | 19 | $0.00 | |
| 99497 | 0% | 16 | $0.00 | |
| 1036F | 0% | 2,351 | $0.00 | |
| 1034F | 0% | 893 | $0.00 | |
| 3075F | 0% | 451 | $0.00 | |
| 3079F | 0% | 788 | $0.00 | |
| 3044F | 0% | 120 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 131 | $0.00 |
| 3074F | 0% | 1,247 | $0.00 | |
| 1125F | 0% | 183 | $0.00 | |
| 1126F | 0% | 38 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 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 officialPRIDGEN, JAMES (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| North Whiteville Urgent Care & Family Practice PA | Whiteville, NC | $2.01M |
| Holly Ridge Healthcare PA | Holly Ridge, NC | $300K |
| Whiteville Family Practice, PA | Whiteville, NC | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.