Acme Medical Specialties, PLLC

Acme Medical Specialties, PLLC was paid $504K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoACME MEDICAL SPECIALTIES, PLLC
LUMBERTON, NC 28358

33aNPI1043507130assigned 07/08/2011

33bProvider typeInfectious Disease Physician

28Total paid$504K

24GClaims12,917

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Infectious Disease Physician providers in North Carolina

Rank by total paid#7 of 37

Median peer was paid$78K

This provider vs. median6.5×

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	1,774	$50K
2019	1,315	$56K
2020	1,336	$53K
2021	1,469	$63K
2022	2,121	$72K
2023	2,201	$82K
2024incomplete	2,701	$129K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	5,142	4,242	$162K
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	26%	2,614	2,146	$129K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	22%	1,996	1,619	$111K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	4.9%	188	154	$25K
99254		4.4%	193	151	$22K
99243		3.2%	170	152	$16K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.9%	340	285	$9K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	1.8%	83	71	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	115	89	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	109	52	$4K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	33	27	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	250	198	$3K

5 more codes

36415	Collection of venous blood by venipuncture	<1%	1,474	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	124	$2K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	20	$2K
99442		<1%	39	$1K
99441		<1%	27	$414.09

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 officialAGYEI-GYAMFI, FRANCES (ADMINISTRATOR)