Physician
Kinston Medical Specialists PA
Kinston Medical Specialists PA was paid $280K by Medicaid between Jan 2018 and May 2018, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoKINSTON MEDICAL SPECIALISTS PA
KINSTON, NC 28501
KINSTON, NC 28501
33aNPI1114904927assigned 12/22/2005
33bProvider typeFamily Medicine Physician
28Total paid$280K
24GClaims14,233
24DCodes billed44
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#376 of 960
Median peer was paid$135K
This provider vs. median2.1×
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 | 14,233 | $280K |
Box 24 · Service lines
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 | 59% | 3,540 | 3,141 | $164K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 1,701 | 1,527 | $59K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.4% | 202 | 197 | $12K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.3% | 1,378 | 1,096 | $7K |
| 80053 | Comprehensive metabolic panel | 2.0% | 1,067 | 997 | $6K |
| 36415 | Collection of venous blood by venipuncture | 1.3% | 3,082 | 2,664 | $4K |
| 99490 | Ccm add 20min | 1.1% | 276 | 271 | $3K |
| 80061 | Lipid panel | <1% | 438 | 429 | $3K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 134 | 134 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 119 | 106 | $3K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 73 | 40 | $2K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 199 | 195 | $2K |
32 more codes
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 30 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 355 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $1K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 33 | $999.26 |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 12 | $964.60 |
| 99307 | <1% | 101 | $794.84 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 12 | $695.52 |
| 85027 | <1% | 260 | $694.26 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 75 | $692.54 |
| 93000 | <1% | 67 | $662.47 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 216 | $624.62 |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 12 | $575.65 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 37 | $559.95 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 17 | $444.87 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | $409.77 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 13 | $393.12 |
| 81003 | <1% | 152 | $246.53 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | $184.83 |
| 83721 | <1% | 107 | $164.78 | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 12 | $144.74 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $118.82 |
| 83718 | <1% | 42 | $101.00 | |
| 81001 | <1% | 51 | $93.84 | |
| 84480 | <1% | 16 | $87.45 | |
| 84450 | <1% | 73 | $77.00 | |
| 84478 | <1% | 40 | $70.98 | |
| 84439 | <1% | 15 | $55.65 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 45 | $17.60 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 47 | $16.92 |
| 85018 | <1% | 12 | $8.76 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 43 | $2.25 |
| 99173 | 0% | 14 | $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 officialPIERCE, HUBERT (PRESIDENT)