Northwest Georgia Medical Clinic, P.C.
Northwest Georgia Medical Clinic, P.C. was paid $763K by Medicaid between Jan 2018 and Oct 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoNORTHWEST GEORGIA MEDICAL CLINIC, P.C.
ROME, GA 30161
ROME, GA 30161
33aNPI1053462325assigned 01/15/2007
33bProvider typeSpecialist
28Total paid$763K
24GClaims15,694
24DCodes billed36
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Georgia
Rank by total paid#11 of 52
Median peer was paid$46K
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 | 2,174 | $106K | |
| 2019 | 2,810 | $139K | |
| 2020 | 3,423 | $151K | |
| 2021 | 1,805 | $79K | |
| 2022 | 3,239 | $161K | |
| 2023 | 1,924 | $111K | |
| 2024incomplete | 319 | $17K |
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 | 46% | 6,924 | 6,350 | $351K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 22% | 2,864 | 2,714 | $168K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 704 | 611 | $56K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 7.0% | 701 | 643 | $54K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.3% | 232 | 224 | $25K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 532 | 528 | $20K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.4% | 221 | 196 | $18K |
| 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 | 2.3% | 255 | 236 | $18K |
| 81025 | 1.4% | 1,535 | 1,454 | $11K | |
| 76813 | 1.0% | 81 | 78 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 95 | 95 | $7K |
| 76830 | Ultrasound, transvaginal | <1% | 69 | 67 | $5K |
24 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 148 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | $3K |
| 76801 | <1% | 27 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 144 | $2K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 15 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 42 | $2K |
| 0500F | <1% | 92 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $903.58 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 15 | $697.20 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 46 | $630.36 |
| 59025 | Fetal non-stress test | <1% | 19 | $578.48 |
| 87807 | <1% | 34 | $519.57 | |
| 90670 | <1% | 184 | $410.22 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 32 | $402.96 |
| 96161 | <1% | 83 | $331.75 | |
| 90474 | <1% | 25 | $283.82 | |
| 90686 | <1% | 110 | $279.37 | |
| 96127 | <1% | 73 | $254.75 | |
| 81002 | <1% | 13 | $42.08 | |
| 90677 | 0% | 12 | $0.00 | |
| 90680 | 0% | 52 | $0.00 | |
| 90723 | 0% | 111 | $0.00 | |
| 90647 | 0% | 88 | $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 officialSMITH, ANGIE (FINANCIAL COORD)
| Provider | Location | Paid |
|---|---|---|
| Urology of ST. Louis, INC. | Saint Louis, MO | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.