Physician
Cape Fear Physical Medicine and
Cape Fear Physical Medicine and was paid $662K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 29% of everything it billed.
33Billing provider infoCAPE FEAR PHYSICAL MEDICINE AND
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
33aNPI1134226301assigned 09/20/2006
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$662K
24GClaims29,991
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in North Carolina
Rank by total paid#10 of 42
Median peer was paid$18K
This provider vs. median38×
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 | 7,891 | $152K | |
| 2019 | 7,042 | $155K | |
| 2020 | 5,106 | $111K | |
| 2021 | 3,597 | $86K | |
| 2022 | 2,484 | $57K | |
| 2023 | 2,168 | $52K | |
| 2024incomplete | 1,703 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 29% | 4,278 | 1,384 | $191K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 28% | 7,325 | 2,210 | $188K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 4,427 | 3,089 | $112K |
| 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 | 17% | 2,824 | 1,997 | $111K |
| 99253 | 4.0% | 313 | 287 | $27K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.2% | 891 | 277 | $8K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 1,301 | 430 | $8K |
| 20611 | 1.1% | 339 | 124 | $8K | |
| 99442 | <1% | 246 | 140 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 181 | 85 | $3K |
| 64483 | <1% | 20 | 13 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | 12 | $521.94 |
17 more codes
| 99443 | <1% | 49 | $405.04 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 117 | $273.71 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 499 | $236.04 |
| J3490 | Unclassified drugs | <1% | 1,997 | $89.87 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 195 | $56.00 |
| 80305 | <1% | 20 | $54.44 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 790 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 2,638 | $0.00 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | 0% | 88 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 792 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 355 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 93 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 58 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 40 | $0.00 |
| 1036F | 0% | 54 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 19 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 27 | $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 officialABBASINEJAD, MEISHA (PHYSICIAN/ OWNER)