North Carolina Emergency Physicians, PLLC
North Carolina Emergency Physicians, PLLC was paid $10.60M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99285, emergency room visit (most serious) — 46% of everything it billed.
LAURINBURG, NC 28352
Next to other Emergency Medicine Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 24,194 | $1.51M | |
| 2019 | 19,460 | $1.44M | |
| 2020 | 14,050 | $1.22M | |
| 2021 | 20,228 | $1.56M | |
| 2022 | 27,062 | $1.82M | |
| 2023 | 23,014 | $1.60M | |
| 2024incomplete | 21,026 | $1.46M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 46% | 49,226 | 42,010 | $4.92M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 42% | 55,868 | 48,217 | $4.42M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 10% | 25,910 | 22,716 | $1.11M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 17,140 | 13,584 | $75K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 541 | 436 | $64K |
| 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 | <1% | 196 | 124 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 56 | 35 | $2K |
| 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% | 17 | 14 | $2K |
| G8709 | Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) | 0% | 40 | 27 | $0.00 |
| G8708 | Patient not prescribed antibiotic | 0% | 40 | 30 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.