Physician
Pleasant Garden Family Practice
Pleasant Garden Family Practice was paid $431K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 36% of everything it billed.
33Billing provider infoPLEASANT GARDEN FAMILY PRACTICE
PLEASANT GARDEN, NC 27313
PLEASANT GARDEN, NC 27313
33aNPI1083754709assigned 02/08/2007
33bProvider typeFamily Medicine Physician
28Total paid$431K
24GClaims33,957
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#291 of 960
Median peer was paid$135K
This provider vs. median3.2×
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 | 1,821 | $52K | |
| 2019 | 1,224 | $48K | |
| 2020 | 1,102 | $42K | |
| 2021 | 4,552 | $63K | |
| 2022 | 8,893 | $73K | |
| 2023 | 7,247 | $61K | |
| 2024incomplete | 9,118 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 36% | 26,053 | 16,876 | $156K |
| 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 | 32% | 2,429 | 1,840 | $139K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 2,590 | 1,980 | $116K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.2% | 1,500 | 1,082 | $14K |
| 80306 | <1% | 200 | 186 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,071 | 972 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 37 | 35 | $708.56 |
| 90688 | <1% | 77 | 59 | $506.85 |
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 officialELKINS, WILSON (OWNER)