Clinic
Bomray Medical Clinic
Bomray Medical Clinic was paid $1.57M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoBOMRAY MEDICAL CLINIC
CHARLOTTE, NC 28216
CHARLOTTE, NC 28216
33aNPI1013974864assigned 04/26/2006
33bProvider typeClinic/Center
28Total paid$1.57M
24GClaims139,024
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in North Carolina
Rank by total paid#9 of 57
Median peer was paid$97K
This provider vs. median16×
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 | 12,671 | $170K | |
| 2019 | 11,501 | $197K | |
| 2020 | 7,249 | $141K | |
| 2021 | 16,191 | $208K | |
| 2022 | 23,175 | $247K | |
| 2023 | 26,623 | $251K | |
| 2024incomplete | 41,614 | $353K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 11,811 | 9,709 | $653K |
| 99199 | Unlisted special service, procedure or report | 33% | 81,194 | 48,969 | $512K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 3,236 | 2,701 | $123K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 4.3% | 3,180 | 2,720 | $67K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 6,352 | 5,334 | $36K |
| 93000 | 1.6% | 3,056 | 2,536 | $25K | |
| 84443 | Thyroid stimulating hormone (TSH) | 1.6% | 2,000 | 1,729 | $25K |
| 80061 | Lipid panel | 1.3% | 2,299 | 2,061 | $21K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.2% | 2,766 | 2,442 | $19K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,606 | 2,447 | $15K |
| 80076 | <1% | 2,534 | 2,301 | $14K | |
| 81002 | <1% | 6,839 | 5,764 | $12K |
32 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 5,197 | $8K |
| 94060 | <1% | 288 | $7K | |
| 90756 | <1% | 668 | $5K | |
| 82962 | <1% | 2,670 | $4K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 46 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 410 | $3K |
| 0124A | <1% | 63 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $2K |
| 99490 | Ccm add 20min | <1% | 132 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 90 | $1K |
| 85027 | <1% | 305 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 16 | $1K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 28 | $1K |
| 90686 | <1% | 120 | $968.35 | |
| 91320 | <1% | 40 | $947.60 | |
| 77080 | <1% | 37 | $584.94 | |
| 99401 | <1% | 61 | $519.39 | |
| 90480 | <1% | 41 | $511.78 | |
| 94010 | <1% | 45 | $503.53 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 38 | $448.25 |
| 96127 | <1% | 99 | $265.96 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19 | $206.49 |
| 88164 | <1% | 18 | $156.36 | |
| 82043 | <1% | 44 | $150.74 | |
| 0003A | <1% | 16 | $130.00 | |
| 81025 | <1% | 15 | $78.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $70.65 |
| 3044F | <1% | 370 | $0.18 | |
| G0008 | Administration of influenza virus vaccine | 0% | 185 | $0.00 |
| 1111F | 0% | 12 | $0.00 | |
| 91312 | 0% | 18 | $0.00 | |
| 91300 | 0% | 22 | $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 officialOLSZEWSKI, JERRI (BILLING REPRESENTATIVE)