Metrolina Neurological Associates, P a
Metrolina Neurological Associates, P a was paid $193K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoMETROLINA NEUROLOGICAL ASSOCIATES, P A
ROCK HILL, SC 29732
ROCK HILL, SC 29732
33aNPI1124007778assigned 01/12/2006
33bProvider typeSpecialist
28Total paid$193K
24GClaims4,500
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#27 of 89
Median peer was paid$41K
This provider vs. median4.7×
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 | 469 | $13K | |
| 2019 | 413 | $16K | |
| 2020 | 523 | $28K | |
| 2021 | 752 | $40K | |
| 2022 | 773 | $34K | |
| 2023 | 1,031 | $40K | |
| 2024incomplete | 539 | $22K |
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 | 73% | 3,423 | 2,828 | $141K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 438 | 380 | $26K |
| 99205 | Prolong outpt/office vis | 5.3% | 97 | 94 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 447 | 377 | $10K |
| 95886 | 1.2% | 44 | 36 | $2K | |
| 99245 | 1.2% | 13 | 12 | $2K | |
| 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 | <1% | 22 | 12 | $821.30 |
| 95816 | <1% | 16 | 13 | $604.07 |
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 officialMANDELL, HOWARD (PHYSICIAN OWNER)
| Provider | Location | Paid |
|---|---|---|
| Metrolina Neurodiagnostic Center, LLC | Rock Hill, SC | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.