Physician
Douglas Dussel Pritchard MD PLLC
Douglas Dussel Pritchard MD PLLC was paid $19K by Medicaid between Jan 2018 and Mar 2022, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoDOUGLAS DUSSEL PRITCHARD MD PLLC
STATESVILLE, NC 28625
STATESVILLE, NC 28625
33aNPI1063556728assigned 02/16/2007
33bProvider typePain Medicine (Anesthesiology) Physician
28Total paid$19K
24GClaims2,476
24DCodes billed8
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Pain Medicine (Anesthesiology) Physician providers in North Carolina
Rank by total paid#29 of 43
Median peer was paid$90K
This provider vs. median0.2×
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 | 441 | $5K | |
| 2019 | 411 | $2K | |
| 2020 | 1,110 | $7K | |
| 2021 | 472 | $4K | |
| 2022 | 42 | $824.60 |
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 | 60% | 814 | 772 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 647 | 579 | $7K |
| 1036F | 0% | 128 | 123 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 128 | 123 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 278 | 267 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 439 | 420 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 28 | 28 | $0.00 |
| 4040F | 0% | 14 | 13 | $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 officialPRITCHARD, DOUGLAS (OWNER)