Agency
Martin Tyrrell Washington District Health Department
Martin Tyrrell Washington District Health Department was paid $4.36M by Medicaid between Jan 2018 and Dec 2024, across 84 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 31% of everything it billed.
33Billing provider infoMARTIN TYRRELL WASHINGTON DISTRICT HEALTH DEPARTMENT
PLYMOUTH, NC 27962
PLYMOUTH, NC 27962
33aNPI1194706671assigned 11/10/2005
33bProvider typeCase Management Agency
28Total paid$4.36M
24GClaims345,712
24DCodes billed84
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#60 of 195
Median peer was paid$2.05M
This provider vs. median2.1×
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 | 20,597 | $513K | |
| 2019 | 17,354 | $458K | |
| 2020 | 14,730 | $487K | |
| 2021 | 40,287 | $700K | |
| 2022 | 79,481 | $743K | |
| 2023 | 86,438 | $703K | |
| 2024incomplete | 86,825 | $760K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 31% | 237,884 | 168,170 | $1.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 5,737 | 4,752 | $361K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.0% | 10,474 | 10,277 | $307K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.2% | 2,503 | 1,530 | $272K |
| D1208 | Topical application of fluoride, excluding varnish | 4.7% | 11,125 | 10,945 | $203K |
| D1110 | Prophylaxis - adult | 4.6% | 4,669 | 4,601 | $202K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.3% | 6,105 | 5,999 | $189K |
| D0330 | Panoramic radiographic image | 3.3% | 2,348 | 2,289 | $144K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 1,402 | 929 | $118K |
| D0274 | Bitewings - four radiographic images | 2.6% | 3,226 | 3,165 | $115K |
| D0140 | Limited oral evaluation - problem focused | 2.3% | 2,423 | 2,333 | $98K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 1,629 | 1,590 | $79K |
72 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 1,018 | $78K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 645 | $75K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.7% | 689 | $73K |
| D0272 | Bitewings - two radiographic images | 1.5% | 3,202 | $66K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.4% | 2,276 | $63K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 5,095 | $59K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 2,534 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 2,812 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 565 | $47K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 247 | $36K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 400 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 385 | $29K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 908 | $28K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,800 | $24K |
| D1351 | Sealant - per tooth | <1% | 896 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 381 | $19K |
| 0001A | <1% | 336 | $15K | |
| 87210 | <1% | 3,685 | $14K | |
| 81025 | <1% | 2,169 | $14K | |
| 82120 | <1% | 3,684 | $14K | |
| 0012A | <1% | 305 | $13K | |
| 0002A | <1% | 335 | $11K | |
| 0011A | <1% | 336 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,522 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 985 | $7K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 318 | $7K |
| 0071A | <1% | 126 | $5K | |
| 0072A | <1% | 86 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 29 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 290 | $4K |
| 92551 | <1% | 2,767 | $4K | |
| 0064A | <1% | 85 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 267 | $4K |
| D4355 | <1% | 57 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 249 | $4K |
| 90651 | <1% | 622 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 23 | $3K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 21 | $3K |
| 99384 | <1% | 33 | $3K | |
| 90686 | <1% | 1,506 | $2K | |
| 90734 | <1% | 859 | $2K | |
| 99383 | <1% | 16 | $2K | |
| T1002 | Rn services, up to 15 minutes | <1% | 103 | $2K |
| 85018 | <1% | 996 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 24 | $1K |
| 96127 | <1% | 186 | $703.31 | |
| 81003 | <1% | 471 | $588.30 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 16 | $534.30 |
| 87081 | <1% | 117 | $491.11 | |
| 90715 | <1% | 367 | $445.76 | |
| 90480 | <1% | 18 | $408.46 | |
| 0031A | <1% | 35 | $341.95 | |
| 96160 | <1% | 89 | $243.10 | |
| D1206 | Topical application of fluoride varnish | <1% | 16 | $235.80 |
| 90620 | <1% | 159 | $193.05 | |
| 99173 | <1% | 2,150 | $179.16 | |
| 90633 | <1% | 208 | $79.28 | |
| 90656 | <1% | 14 | $60.00 | |
| 96161 | <1% | 14 | $41.14 | |
| 91300 | <1% | 768 | $3.68 | |
| 90710 | 0% | 188 | $0.00 | |
| 99177 | 0% | 481 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 156 | $0.00 |
| 90670 | 0% | 129 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 745 | $0.00 |
| 91306 | 0% | 82 | $0.00 | |
| 90696 | 0% | 43 | $0.00 | |
| 91307 | 0% | 224 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 77 | $0.00 |
| 91301 | 0% | 701 | $0.00 | |
| 91302 | 0% | 32 | $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 officialBARNES, NICOLE (HEALTH DIRECTOR)