Physician
Alamance Family Practice, PA
Alamance Family Practice, PA was paid $555K by Medicaid between Jan 2018 and Nov 2021, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoALAMANCE FAMILY PRACTICE, PA
ELON, NC 27244
ELON, NC 27244
33aNPI1194842245assigned 03/23/2007
33bProvider typeFamily Medicine Physician
28Total paid$555K
24GClaims13,400
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#235 of 960
Median peer was paid$135K
This provider vs. median4.1×
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 | 5,218 | $206K | |
| 2019 | 2,990 | $150K | |
| 2020 | 2,139 | $112K | |
| 2021 | 3,053 | $87K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 69% | 5,061 | 4,220 | $383K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 692 | 615 | $34K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.7% | 267 | 263 | $32K |
| 99406 | 5.1% | 2,347 | 1,949 | $28K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.3% | 124 | 124 | $18K |
| 94375 | 2.4% | 479 | 470 | $13K | |
| 99199 | Unlisted special service, procedure or report | 2.1% | 1,388 | 929 | $12K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.7% | 105 | 103 | $10K |
| 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 | 1.6% | 81 | 79 | $9K |
| 80305 | <1% | 325 | 316 | $4K | |
| 96127 | <1% | 741 | 658 | $3K | |
| 81002 | <1% | 1,034 | 947 | $3K |
13 more codes
| 93000 | <1% | 149 | $2K | |
| 94664 | <1% | 183 | $2K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 40 | $558.17 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 34 | $425.60 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | $372.54 |
| 99441 | <1% | 13 | $324.30 | |
| 90686 | <1% | 38 | $297.90 | |
| 90688 | <1% | 91 | $245.25 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $169.56 |
| G0403 | Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | <1% | 43 | $47.26 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 59 | $0.00 |
| 99497 | 0% | 41 | $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 officialCUMMINGS, SHANNON (BILLING MANAGER)