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

Med First Immediate Care & Family Practice, PA

Med First Immediate Care & Family Practice, PA was paid $14.59M by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 34% of everything it billed.

33Billing provider infoMED FIRST IMMEDIATE CARE & FAMILY PRACTICE, PA
JACKSONVILLE, NC 28540
33aNPI1053503763assigned 08/16/2007
28Total paid$14.59M
24GClaims1,526,294
24DCodes billed99
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#3 of 960
Median peer was paid$135K
This provider vs. median108×

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

$0$250K$500K$750K2018201920202021202220232024
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
201822,737$870K
201921,779$849K
202024,598$758K
202179,266$1.52M
2022277,419$2.44M
2023438,741$3.07M
2024incomplete661,754$5.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 34% 862,159 454,396 $4.92M
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 33% 98,114 71,254 $4.85M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 42,747 31,854 $1.75M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.9% 11,086 8,355 $720K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.2% 4,812 3,722 $470K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3.2% 16,557 11,428 $461K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.4% 3,203 2,379 $211K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.2% 14,471 6,034 $174K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,709 1,438 $108K
87428 <1% 2,174 1,419 $95K
80305 <1% 15,037 11,627 $91K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 691 645 $80K
87 more codes
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 855 $73K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 1,056 $73K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,705 $72K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 711 $55K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 4,773 $53K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 590 $50K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,385 $46K
99490 Ccm add 20min <1% 3,185 $37K
96127 <1% 9,542 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 981 $26K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,525 $25K
83036 Hemoglobin; glycosylated (A1C) <1% 4,761 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 188 $17K
82947 <1% 5,345 $9K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,227 $9K
81003 <1% 6,155 $9K
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% 4,123 $7K
99406 <1% 769 $5K
92551 <1% 1,539 $5K
99205 Prolong outpt/office vis <1% 30 $4K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 148 $4K
87807 <1% 333 $4K
D0145 Oral evaluation for a patient under three years of age <1% 160 $3K
80061 Lipid panel <1% 379 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 74 $3K
20610 <1% 216 $3K
99173 <1% 1,728 $2K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 31 $2K
86328 <1% 126 $2K
D1206 Topical application of fluoride varnish <1% 160 $2K
99386 <1% 17 $1K
0011A <1% 46 $1K
71046 Radiologic examination, chest; 2 views <1% 88 $1K
90670 <1% 178 $985.01
93000 <1% 134 $826.62
0012A <1% 13 $780.00
J1040 Injection, methylprednisolone acetate, 80 mg <1% 130 $635.79
81025 <1% 93 $634.06
0072A <1% 13 $549.58
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 62 $546.82
90674 <1% 192 $522.56
90461 <1% 86 $514.67
90715 <1% 25 $297.78
90677 <1% 70 $268.63
82570 <1% 90 $263.31
82044 <1% 91 $169.47
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 129 $115.67
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 183 $91.88
99401 <1% 20 $84.00
3044F <1% 1,110 $80.00
90633 <1% 52 $70.01
82962 <1% 82 $50.05
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 20 $28.80
90688 <1% 120 $15.47
99497 <1% 13 $13.37
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 71 $11.52
1111F <1% 1,468 $1.47
3074F <1% 61,561 $0.15
3078F <1% 49,896 $0.12
1160F <1% 64,567 $0.06
1159F <1% 62,164 $0.05
3079F <1% 21,720 $0.04
3075F <1% 9,414 $0.02
3077F <1% 1,799 $0.01
1126F <1% 6,244 $0.01
3080F <1% 2,139 $0.01
3725F 0% 22,774 $0.00
0521F 0% 1,482 $0.00
90648 0% 22 $0.00
90649 0% 16 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 34 $0.00
90710 0% 14 $0.00
3062F 0% 22 $0.00
1036F 0% 46,493 $0.00
3008F 0% 27,035 $0.00
1125F 0% 2,818 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 95 $0.00
1034F 0% 11,914 $0.00
94760 0% 68 $0.00
G0008 Administration of influenza virus vaccine 0% 164 $0.00
3061F 0% 577 $0.00
1101F 0% 922 $0.00
90680 0% 37 $0.00
91301 0% 52 $0.00
3060F 0% 44 $0.00
90656 0% 37 $0.00
90696 0% 14 $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 officialFENECK, PAUL (CEO)
Same official

Other billing entities under FENECK, PAUL

Full network →
ProviderLocationPaid
Med First Immediate Care & Family Practice, PAJacksonville, NC$102K

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