Physician
Gastonia Medical Specialty Clinic PA
Gastonia Medical Specialty Clinic PA was paid $718K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoGASTONIA MEDICAL SPECIALTY CLINIC PA
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1023048279assigned 07/04/2006
33bProvider typeInternal Medicine Physician
28Total paid$718K
24GClaims28,202
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#107 of 616
Median peer was paid$74K
This provider vs. median9.7×
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 | 6,207 | $169K | |
| 2019 | 5,195 | $171K | |
| 2020 | 3,392 | $122K | |
| 2021 | 2,986 | $80K | |
| 2022 | 3,601 | $63K | |
| 2023 | 2,786 | $48K | |
| 2024incomplete | 4,035 | $64K |
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 | 51% | 7,540 | 6,683 | $364K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 11% | 4,825 | 3,422 | $81K |
| 99442 | 6.0% | 1,806 | 1,479 | $43K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 1,558 | 1,433 | $42K |
| 99199 | Unlisted special service, procedure or report | 5.3% | 6,682 | 4,881 | $38K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 4.7% | 369 | 351 | $34K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.9% | 1,092 | 336 | $28K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.5% | 114 | 108 | $18K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.3% | 1,015 | 884 | $16K |
| 95811 | 2.2% | 145 | 145 | $16K | |
| 94010 | 1.3% | 713 | 675 | $9K | |
| 94729 | 1.2% | 585 | 576 | $9K |
11 more codes
| 94727 | <1% | 596 | $7K | |
| 99443 | <1% | 126 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 405 | $5K |
| 99406 | <1% | 165 | $1K | |
| 90756 | <1% | 75 | $575.02 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $359.10 |
| 36415 | Collection of venous blood by venipuncture | <1% | 212 | $335.98 |
| 93000 | <1% | 26 | $287.87 | |
| 81002 | <1% | 77 | $110.29 | |
| 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% | 33 | $29.61 |
| G0008 | Administration of influenza virus vaccine | 0% | 16 | $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 officialJARRATT, MIKELL (CORPORATE OFFICER - PRESIDENT)