Clinic
Downtown Clinic, P.A.
Downtown Clinic, P.A. was paid $105K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 45% of everything it billed.
33Billing provider infoDOWNTOWN CLINIC, P.A.
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1093785719assigned 01/25/2006
33bProvider typeClinic/Center
28Total paid$105K
24GClaims11,247
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in North Carolina
Rank by total paid#28 of 57
Median peer was paid$97K
This provider vs. median1.1×
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 | 623 | $13K | |
| 2019 | 610 | $15K | |
| 2020 | 321 | $10K | |
| 2021 | 1,179 | $16K | |
| 2022 | 2,948 | $18K | |
| 2023 | 2,781 | $14K | |
| 2024incomplete | 2,785 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 45% | 8,825 | 4,122 | $48K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 31% | 701 | 430 | $32K |
| 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 | 18% | 452 | 278 | $19K |
| 99383 | 3.9% | 47 | 38 | $4K | |
| 36415 | Collection of venous blood by venipuncture | 1.7% | 1,082 | 879 | $2K |
| 90688 | <1% | 25 | 14 | $117.07 | |
| 90674 | <1% | 35 | 13 | $84.32 | |
| 92551 | 0% | 28 | 28 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 24 | 12 | $0.00 |
| 99173 | 0% | 28 | 28 | $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 officialEGERER, JAMES (OWNER)