RDMG Associates, PA
RDMG Associates, PA was paid $1.88M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
SPINDALE, NC 28160
Next to other Family Nurse Practitioner providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,962 | $222K | |
| 2019 | 16,314 | $239K | |
| 2020 | 11,152 | $158K | |
| 2021 | 26,841 | $280K | |
| 2022 | 41,543 | $339K | |
| 2023 | 39,091 | $331K | |
| 2024incomplete | 36,746 | $313K |
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 | 37% | 11,394 | 9,682 | $705K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 12,238 | 9,925 | $585K |
| 99199 | Unlisted special service, procedure or report | 26% | 69,410 | 36,162 | $487K |
| 87428 | 1.7% | 601 | 570 | $32K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.5% | 1,550 | 1,028 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,294 | 1,114 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 518 | 443 | $8K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,250 | 2,826 | $5K |
| 96127 | <1% | 1,152 | 954 | $5K | |
| 87430 | <1% | 297 | 277 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | 12 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | 13 | $1K |
42 more codes
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 34 | $772.97 |
| 92552 | <1% | 282 | $761.98 | |
| 96160 | <1% | 199 | $646.72 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 90 | $547.98 |
| 94010 | <1% | 12 | $258.43 | |
| 99173 | <1% | 374 | $207.04 | |
| 94664 | <1% | 12 | $133.56 | |
| 90688 | <1% | 21 | $130.80 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 23 | $119.86 |
| 90658 | <1% | 13 | $77.09 | |
| 81001 | <1% | 13 | $33.18 | |
| 92551 | <1% | 31 | $32.08 | |
| 81003 | <1% | 13 | $30.47 | |
| 1160F | <1% | 20,972 | $3.49 | |
| 1159F | <1% | 20,352 | $3.47 | |
| 3008F | <1% | 17,119 | $1.74 | |
| 3074F | <1% | 3,251 | $0.77 | |
| 3078F | <1% | 1,594 | $0.48 | |
| 3079F | <1% | 2,157 | $0.43 | |
| 3080F | <1% | 94 | $0.06 | |
| 3075F | <1% | 262 | $0.04 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,770 | $0.04 |
| 1036F | 0% | 5,599 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 270 | $0.00 |
| 3017F | 0% | 483 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| 1034F | 0% | 535 | $0.00 | |
| 3048F | 0% | 59 | $0.00 | |
| 4010F | 0% | 12 | $0.00 | |
| 94760 | 0% | 45 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| 3014F | 0% | 30 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 99072 | 0% | 220 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 162 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 1,024 | $0.00 |
| 3725F | 0% | 312 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 207 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 196 | $0.00 |
| 90670 | 0% | 13 | $0.00 | |
| 3015F | 0% | 14 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Raleigh Durham Medical Group, PA | Clayton, NC | $3.74M |
| RDMG Associates PA | Roxboro, NC | $1.46M |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $918K |
| Raleigh Durham Medical Group PA | Durham, NC | $756K |
| Raleigh Durham Medical Group, PA | Durham, NC | $748K |
| Raleigh Durham Medical Group PA | Cary, NC | $577K |
| RDMG Associates PA | Morganton, NC | $552K |
| RDMG Associates PA | Shallotte, NC | $432K |
| RDMG Associates PA | Black Mountain, NC | $349K |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $331K |
| RDMG Associates, PA | Fayetteville, NC | $306K |
| RDMG Associates PA | Smithfield, NC | $234K |
| RDMG Associates, PA | Asheville, NC | $179K |
| RDMG Associates, PA | Raleigh, NC | $103K |
| RDMG Associates PA | Asheville, NC | $78K |
| RDMG Associates, PA | Wilmington, NC | $55K |
| RDMG Associates PA | Asheville, NC | $51K |
| RDMG Associates, PA | Morehead City, NC | $20K |
| RDMG Associates PA | Wilmington, NC | $13K |
| Raleigh Durham Medical Group PA | Cary, NC | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.