Behavioral
Robert C. Pennebaker PLLC
Robert C. Pennebaker PLLC was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoROBERT C. PENNEBAKER PLLC
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
33aNPI1144657677assigned 09/30/2013
33bProvider typeClinical Social Worker
28Total paid$1.20M
24GClaims29,482
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in North Carolina
Rank by total paid#23 of 291
Median peer was paid$39K
This provider vs. median31×
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 | 5,700 | $152K | |
| 2019 | 2,605 | $100K | |
| 2020 | 1,683 | $77K | |
| 2021 | 1,800 | $79K | |
| 2022 | 4,496 | $229K | |
| 2023 | 7,250 | $272K | |
| 2024incomplete | 5,948 | $291K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 15,470 | 9,707 | $607K |
| 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 | 35% | 7,169 | 4,899 | $418K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 12% | 2,925 | 1,337 | $144K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.3% | 160 | 67 | $15K |
| 80305 | <1% | 1,994 | 723 | $10K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 40 | 27 | $4K |
| 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% | 27 | 13 | $2K |
| 96127 | <1% | 1,697 | 507 | $89.79 |
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 officialPENNEBAKER, ROBERT (PRESIDENT)