Sandhills Emergency Physicians PA

Sandhills Emergency Physicians PA was paid $21.05M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99284, emergency room visit (serious) — 45% of everything it billed.

33Billing provider infoSANDHILLS EMERGENCY PHYSICIANS PA
PINEHURST, NC 28374

33aNPI1003853409assigned 06/02/2006

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$21.05M

24GClaims361,402

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in North Carolina

Rank by total paid#1 of 9

Median peer was paid$96K

This provider vs. median220×

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	69,123	$3.00M
2019	58,094	$2.95M
2020	40,332	$2.25M
2021	48,136	$2.88M
2022	52,569	$3.14M
2023	48,052	$3.62M
2024incomplete	45,096	$3.20M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	45%	128,970	112,913	$9.52M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	39%	92,720	79,378	$8.13M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	15%	78,253	67,677	$3.15M
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	53,125	44,725	$184K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	<1%	492	434	$55K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	248	218	$7K
99223	Prolong inpt eval add15 m	<1%	16	13	$1K
99053		<1%	234	211	$105.92
G9744	Patient not eligible due to active diagnosis of hypertension	0%	3,140	3,099	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	615	604	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	3,589	3,548	$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 officialOLZARK, KRISTIN (PRACTICE MANAGER)