Physician
Raleigh Medical Group, PA
Raleigh Medical Group, PA was paid $141K by Medicaid between Feb 2019 and Sep 2024, across 7 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 62% of everything it billed.
33Billing provider infoRALEIGH MEDICAL GROUP, PA
RALEIGH, NC 27609
RALEIGH, NC 27609
33aNPI1104962315assigned 01/29/2007
33bProvider typeGastroenterology Physician
28Total paid$141K
24GClaims3,048
24DCodes billed7
24AFirst – last monthFeb 2019 – Sep 2024
Compared with peers
Next to other Gastroenterology Physician providers in North Carolina
Rank by total paid#24 of 64
Median peer was paid$44K
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 | |
|---|---|---|---|
| 2019 | 607 | $30K | |
| 2020 | 649 | $51K | |
| 2021 | 806 | $45K | |
| 2022 | 529 | $10K | |
| 2023 | 287 | $3K | |
| 2024incomplete | 170 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 62% | 821 | 759 | $87K |
| 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% | 786 | 600 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 617 | 461 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.1% | 119 | 106 | $10K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 4.6% | 601 | 129 | $6K |
| 88312 | <1% | 19 | 19 | $852.18 | |
| 99199 | Unlisted special service, procedure or report | <1% | 85 | 85 | $425.00 |
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 officialHEWLIN, ASHLEY (PRACTICE IMPLEMENTATION MANAGER)