Physician
Eastern Medical Associates, PA
Eastern Medical Associates, PA was paid $756K by Medicaid between Jan 2018 and Oct 2023, across 11 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 74% of everything it billed.
33Billing provider infoEASTERN MEDICAL ASSOCIATES, PA
GOLDSBORO, NC 27534
GOLDSBORO, NC 27534
33aNPI1194762807assigned 06/01/2006
33bProvider typeGeneral Practice Physician
28Total paid$756K
24GClaims12,531
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other General Practice Physician providers in North Carolina
Rank by total paid#14 of 51
Median peer was paid$205K
This provider vs. median3.7×
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 | 2,369 | $147K | |
| 2019 | 1,764 | $101K | |
| 2020 | 2,436 | $232K | |
| 2021 | 1,480 | $73K | |
| 2022 | 2,879 | $143K | |
| 2023 | 1,603 | $60K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 74% | 4,991 | 1,129 | $560K |
| 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 | 17% | 3,179 | 2,742 | $132K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.0% | 731 | 365 | $30K |
| 99199 | Unlisted special service, procedure or report | 2.1% | 2,863 | 1,829 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 364 | 307 | $9K |
| 95819 | <1% | 179 | 158 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 66 | 58 | $2K |
| 99245 | <1% | 12 | 12 | $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% | 16 | 15 | $805.58 |
| 36415 | Collection of venous blood by venipuncture | <1% | 106 | 101 | $101.79 |
| 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% | 24 | 14 | $63.75 |
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 officialMAYO, PHILIP (PRESIDENT)