Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Physicians Eldercare PA

Physicians Eldercare PA was paid $2.57M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 70% of everything it billed.

33Billing provider infoPHYSICIANS ELDERCARE PA
DURHAM, NC 27713
33aNPI1023083268assigned 02/21/2006
28Total paid$2.57M
24GClaims146,137
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in North Carolina

Rank by total paid#6 of 51
Median peer was paid$205K
This provider vs. median13×

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.

Entity ProliferationAuthorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201823,078$356K
201924,902$548K
202024,670$602K
202122,193$511K
202227,537$446K
20235,213$25K
2024incomplete18,544$83K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99309 Subsequent nursing facility care, per day, low to moderate complexity 70% 83,091 52,144 $1.79M
99308 Subsequent nursing facility care, per day, straightforward 18% 28,489 19,293 $470K
99199 Unlisted special service, procedure or report 4.8% 27,738 22,058 $124K
99306 Prolong nursin fac eval 15m 2.9% 1,302 1,040 $74K
99310 Prolong nursin fac eval 15m 2.6% 1,860 1,334 $67K
99335 <1% 730 430 $17K
99307 <1% 970 593 $9K
99305 <1% 270 237 $8K
99490 Ccm add 20min <1% 1,194 1,012 $6K
99336 <1% 186 147 $5K
99334 <1% 127 89 $2K
99497 <1% 88 60 $428.33
4 more codes
99487 Ccm add 20min <1% 23 $180.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 17 $0.00
G0008 Administration of influenza virus vaccine 0% 26 $0.00
90630 0% 26 $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 officialHOWARD, NICOLE (SR VP OF ADMINISTRATIVE SERVICES)
Same official

Other billing entities under HOWARD, NICOLE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.