Matrix Occupational Health P.C.
Matrix Occupational Health P.C. was paid $13.99M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 28% of everything it billed.
FAYETTEVILLE, NC 28314
Next to other Urgent Care Clinic/Center providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 24,212 | $1.14M | |
| 2019 | 25,448 | $1.32M | |
| 2020 | 23,907 | $1.33M | |
| 2021 | 47,446 | $1.98M | |
| 2022 | 84,563 | $3.37M | |
| 2023 | 79,996 | $2.82M | |
| 2024incomplete | 59,105 | $2.04M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 28% | 61,605 | 47,110 | $3.88M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 76,483 | 58,071 | $3.36M |
| 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% | 44,693 | 36,106 | $2.95M |
| 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 | 7.8% | 10,939 | 8,435 | $1.09M |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.2% | 61,985 | 25,483 | $727K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.1% | 22,880 | 16,408 | $715K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 4.1% | 15,415 | 10,813 | $571K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.7% | 11,545 | 10,024 | $375K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 23,954 | 19,799 | $282K |
| 99199 | Unlisted special service, procedure or report | <1% | 5,132 | 5,127 | $15K |
| 81025 | <1% | 1,825 | 1,457 | $11K | |
| 81003 | <1% | 5,745 | 4,585 | $10K |
11 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 400 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,403 | $3K |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 63 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 59 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 284 | $2K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 55 | $1K |
| 87807 | <1% | 72 | $771.14 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 41 | $306.34 |
| Q3014 | Telehealth originating site facility fee | <1% | 19 | $185.49 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 18 | $52.65 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 62 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Nextcare Arizona LLC | Tempe, AZ | $161.28M |
| Tulsa Emergency Medical Center INC | Tulsa, OK | $23.71M |
| Nextcare New Mexico LLC | Albuquerque, NM | $17.03M |
| Medical Resource Management, LLC | Edmond, OK | $14.93M |
| Ucp Physicians of Central Texas, PLLC | Georgetown, TX | $12.74M |
| Primamed Physicians PLLC | Dallas, TX | $10.36M |
| Colorado Urgent Care PLLC | Arvada, CO | $5.63M |
| Nextcare Michigan Providers PLLC | Ann Arbor, MI | $4.22M |
| Colorado Urgent Care PLLC | Greeley, CO | $1.40M |
| Colorado Urgent Care PLLC | Thornton, CO | $1.17M |
| Emergent Care Plus of Overland Park, LLC | Leavenworth, KS | $1.15M |
| Colorado Urgent Care PLLC | Aurora, CO | $1.06M |
| Colorado Urgent Care PLLC | Longmont, CO | $916K |
| Nextcare Primary Care Texas PLLC | Abilene, TX | $914K |
| College Drive Urgent Care LLC | Cheyenne, WY | $772K |
| Colorado Urgent Care PLLC | Broomfield, CO | $419K |
| Emergent Care Plus, LLC | Lees Summit, MO | $410K |
| Nextcare Arizona I JV LLC | Tempe, AZ | $273K |
| Nextcare Missouri LLC | Columbia, MO | $227K |
| Ucp Physicians of Central Texas, PLLC | Austin, TX | $163K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.