Clinic
Carolina Mercy Medical Clinic PC
Carolina Mercy Medical Clinic PC was paid $422K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 69% of everything it billed.
33Billing provider infoCAROLINA MERCY MEDICAL CLINIC PC
GASTONIA, NC 28052
GASTONIA, NC 28052
33aNPI1104154988assigned 12/07/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$422K
24GClaims52,058
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#42 of 116
Median peer was paid$226K
This provider vs. median1.9×
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 | 335 | $306.12 | |
| 2019 | 190 | $2K | |
| 2020 | 516 | $22K | |
| 2021 | 3,337 | $45K | |
| 2022 | 9,618 | $82K | |
| 2023 | 12,490 | $88K | |
| 2024incomplete | 25,572 | $183K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 69% | 47,135 | 27,018 | $291K |
| 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 | 21% | 2,586 | 1,437 | $89K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.8% | 845 | 472 | $29K |
| 99401 | 2.7% | 789 | 318 | $11K | |
| 99442 | <1% | 47 | 25 | $960.53 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 191 | 126 | $237.77 |
| 81002 | <1% | 34 | 28 | $78.68 | |
| 93922 | <1% | 14 | 12 | $49.29 | |
| 82962 | <1% | 18 | 16 | $35.30 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 28 | 16 | $0.00 |
| 3288F | 0% | 123 | 84 | $0.00 | |
| 95923 | 0% | 17 | 12 | $0.00 |
6 more codes
| 1159F | 0% | 19 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 19 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 36 | $0.00 |
| 1170F | 0% | 75 | $0.00 | |
| 1125F | 0% | 63 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 19 | $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 officialOKONKWO, CORNELIUS (DIRECTOR)