Physician
Scotland Regional Health Network
Scotland Regional Health Network was paid $355K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoSCOTLAND REGIONAL HEALTH NETWORK
LAURINBURG, NC 28352
LAURINBURG, NC 28352
33aNPI1164726105assigned 01/05/2011
33bProvider typeSurgery Physician
28Total paid$355K
24GClaims11,038
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in North Carolina
Rank by total paid#5 of 108
Median peer was paid$6K
This provider vs. median57×
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 | 991 | $32K | |
| 2019 | 1,481 | $45K | |
| 2020 | 1,246 | $43K | |
| 2021 | 1,564 | $48K | |
| 2022 | 1,932 | $56K | |
| 2023 | 1,521 | $44K | |
| 2024incomplete | 2,303 | $89K |
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 | 75% | 8,798 | 7,358 | $265K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 13% | 637 | 550 | $47K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.6% | 223 | 200 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 488 | 365 | $9K |
| 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 | 1.8% | 152 | 135 | $7K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.8% | 47 | 44 | $6K |
| 99442 | <1% | 126 | 75 | $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% | 46 | 30 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 100 | 50 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 43 | 28 | $1K |
| 99243 | <1% | 12 | 12 | $1K | |
| 99199 | Unlisted special service, procedure or report | <1% | 279 | 279 | $802.50 |
3 more codes
| 99441 | <1% | 27 | $238.56 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 40 | $11.00 |
| 99024 | 0% | 20 | $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 officialPRACHT, MATTHEW (TREASURER)
Parent organizationSCOTLAND REGIONAL HEALTH NETWORK
| Provider | Location | Paid |
|---|---|---|
| Scotland Memorial Hospital INC | Laurinburg, NC | $24K |
| Scotland Regional Health Network | Pembroke, NC | $899.16 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.