Physician
CMG of North Carolina, INC.
CMG of North Carolina, INC. was paid $9.29M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 26% of everything it billed.
33Billing provider infoCMG OF NORTH CAROLINA, INC.
ELIZABETH CITY, NC 27909
ELIZABETH CITY, NC 27909
33aNPI1174532972assigned 08/08/2006
33bProvider typePediatrics Physician
28Total paid$9.29M
24GClaims595,281
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#38 of 433
Median peer was paid$942K
This provider vs. median9.9×
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 | 31,208 | $987K | |
| 2019 | 33,554 | $1.07M | |
| 2020 | 31,498 | $976K | |
| 2021 | 77,763 | $1.35M | |
| 2022 | 139,447 | $1.68M | |
| 2023 | 142,368 | $1.65M | |
| 2024incomplete | 139,443 | $1.58M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 26% | 369,281 | 188,618 | $2.38M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 28,993 | 26,048 | $1.71M |
| 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 | 14% | 14,582 | 12,936 | $1.26M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 7,853 | 7,202 | $675K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 7,634 | 6,816 | $649K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 6,591 | 5,979 | $578K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.0% | 24,043 | 22,196 | $462K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 12,646 | 11,679 | $406K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 3,877 | 3,540 | $367K |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 3,732 | 3,514 | $129K |
| 96127 | 1.3% | 21,189 | 18,840 | $123K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 11,972 | 11,016 | $115K |
62 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.0% | 792 | $93K |
| D1206 | Topical application of fluoride varnish | <1% | 3,685 | $55K |
| 87428 | <1% | 782 | $46K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,574 | $34K |
| 90474 | <1% | 1,596 | $31K | |
| 92583 | <1% | 1,156 | $28K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 764 | $26K |
| 96161 | <1% | 6,365 | $23K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,616 | $21K |
| 99417 | Prolong home eval add 15m | <1% | 79 | $13K |
| 83718 | <1% | 1,159 | $11K | |
| 90686 | <1% | 6,729 | $8K | |
| 0071A | <1% | 147 | $8K | |
| 0072A | <1% | 123 | $7K | |
| 90651 | <1% | 289 | $7K | |
| 82465 | <1% | 1,164 | $6K | |
| 83655 | <1% | 320 | $4K | |
| 99381 | <1% | 40 | $3K | |
| 96160 | <1% | 855 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,002 | $3K |
| 80061 | Lipid panel | <1% | 155 | $2K |
| 69210 | <1% | 50 | $2K | |
| 90734 | <1% | 66 | $2K | |
| 99051 | <1% | 77 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 75 | $811.36 |
| 90473 | <1% | 28 | $584.84 | |
| 87807 | <1% | 39 | $494.55 | |
| 90619 | <1% | 112 | $457.47 | |
| 94664 | <1% | 43 | $451.33 | |
| 90688 | <1% | 664 | $441.45 | |
| 90672 | <1% | 87 | $291.94 | |
| 90656 | <1% | 605 | $281.10 | |
| 92551 | <1% | 519 | $244.00 | |
| 90633 | <1% | 599 | $129.52 | |
| 81002 | <1% | 60 | $126.33 | |
| 81003 | <1% | 47 | $101.64 | |
| 90715 | <1% | 37 | $99.36 | |
| 99173 | <1% | 3,968 | $68.89 | |
| 94760 | <1% | 395 | $51.02 | |
| 90670 | <1% | 3,076 | $48.01 | |
| 90671 | <1% | 618 | $4.08 | |
| 90677 | <1% | 396 | $0.74 | |
| 90697 | <1% | 769 | $0.21 | |
| 1128F | <1% | 23,885 | $0.01 | |
| 90680 | 0% | 1,617 | $0.00 | |
| 1127F | 0% | 7,874 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,917 | $0.00 |
| 90647 | 0% | 1,034 | $0.00 | |
| 91307 | 0% | 348 | $0.00 | |
| 90723 | 0% | 1,181 | $0.00 | |
| 90620 | 0% | 50 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 43 | $0.00 |
| 99000 | 0% | 79 | $0.00 | |
| 90716 | 0% | 32 | $0.00 | |
| 90696 | 0% | 16 | $0.00 | |
| 90687 | 0% | 96 | $0.00 | |
| 90685 | 0% | 602 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 246 | $0.00 |
| G9920 | Screening performed and negative | 0% | 68 | $0.00 |
| 91300 | 0% | 30 | $0.00 | |
| 90707 | 0% | 32 | $0.00 | |
| 90710 | 0% | 16 | $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 officialRYAN, DENNIS (SENIOR VP/CFO)
| Provider | Location | Paid |
|---|---|---|
| Great Neck Public Schools | Great Neck, NY | $259K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.