Community Family Practice, PA

Community Family Practice, PA was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoCOMMUNITY FAMILY PRACTICE, PA
ASHEVILLE, NC 28801

33aNPI1164493615assigned 01/31/2006

33bProvider typeFamily Medicine Physician

28Total paid$1.30M

24GClaims119,310

24DCodes billed21

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#108 of 960

Median peer was paid$135K

This provider vs. median9.6×

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	2,525	$81K
2019	2,372	$100K
2020	2,003	$74K
2021	14,953	$210K
2022	38,263	$293K
2023	33,966	$306K
2024incomplete	25,228	$234K

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	41%	10,071	7,770	$531K
99199	Unlisted special service, procedure or report	40%	100,743	50,242	$522K
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	6.5%	1,460	915	$84K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.9%	417	323	$37K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.3%	384	309	$30K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.7%	261	238	$22K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.0%	329	243	$13K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	846	709	$13K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	727	543	$12K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	731	644	$5K
90472	Immunization administration, each additional vaccine (list separately)	<1%	143	130	$5K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	177	149	$4K

9 more codes

87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	78	$4K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	111	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	109	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	29	$3K
92551		<1%	622	$1K
99173		<1%	1,296	$824.55
90686		<1%	174	$213.93
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	478	$0.00
G8482	Influenza immunization administered or previously received	0%	124	$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 officialLIVINGSTON, LAUREN (PRESIDENT)