Physician
Universal Medical Associates, PLLC
Universal Medical Associates, PLLC was paid $1.52M by Medicaid between Jan 2018 and Jun 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoUNIVERSAL MEDICAL ASSOCIATES, PLLC
RALEIGH, NC 27609
RALEIGH, NC 27609
33aNPI1205865987assigned 07/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.52M
24GClaims111,466
24DCodes billed60
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#87 of 960
Median peer was paid$135K
This provider vs. median11×
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 | 9,010 | $193K | |
| 2019 | 8,418 | $236K | |
| 2020 | 6,654 | $220K | |
| 2021 | 10,030 | $273K | |
| 2022 | 27,523 | $275K | |
| 2023 | 37,415 | $228K | |
| 2024incomplete | 12,416 | $99K |
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 | 40% | 12,565 | 8,584 | $616K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 30% | 7,174 | 4,981 | $450K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,168 | 3,701 | $185K |
| 99199 | Unlisted special service, procedure or report | 6.3% | 23,934 | 23,039 | $97K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.5% | 794 | 515 | $53K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 200 | 127 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,659 | 1,035 | $14K |
| 99406 | <1% | 2,439 | 1,613 | $13K | |
| 99401 | <1% | 1,786 | 1,133 | $13K | |
| 81025 | <1% | 1,803 | 1,136 | $7K | |
| 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% | 80 | 61 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 751 | 589 | $6K |
48 more codes
| 99205 | Prolong outpt/office vis | <1% | 69 | $6K |
| 99441 | <1% | 389 | $6K | |
| 81002 | <1% | 3,456 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 80 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 725 | $5K |
| 82962 | <1% | 2,868 | $3K | |
| 90688 | <1% | 373 | $2K | |
| 90674 | <1% | 343 | $2K | |
| 96127 | <1% | 843 | $2K | |
| 96160 | <1% | 1,114 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 32 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 120 | $1K |
| 90756 | <1% | 95 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 21 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 88 | $1K |
| 99051 | <1% | 133 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 122 | $1K |
| 99408 | <1% | 41 | $805.64 | |
| 93000 | <1% | 69 | $654.59 | |
| 99421 | <1% | 39 | $604.85 | |
| 90682 | <1% | 16 | $454.44 | |
| 90686 | <1% | 84 | $452.94 | |
| 99402 | <1% | 45 | $236.28 | |
| 80305 | <1% | 24 | $95.27 | |
| 83037 | <1% | 649 | $79.88 | |
| 90662 | <1% | 24 | $47.58 | |
| 99173 | <1% | 374 | $46.81 | |
| 92551 | <1% | 201 | $33.08 | |
| 1036F | <1% | 5,913 | $1.25 | |
| 3077F | 0% | 1,881 | $0.00 | |
| 3078F | 0% | 4,615 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,636 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 363 | $0.00 |
| 99499 | 0% | 43 | $0.00 | |
| 3079F | 0% | 2,324 | $0.00 | |
| 3080F | 0% | 1,652 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 2,789 | $0.00 |
| 3008F | 0% | 5,981 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,308 | $0.00 |
| 3044F | 0% | 353 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 204 | $0.00 |
| 3074F | 0% | 5,538 | $0.00 | |
| 3075F | 0% | 1,332 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 400 | $0.00 |
| 1034F | 0% | 2,238 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| 1111F | 0% | 59 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 31 | $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 officialREYES, RODOLFO (MANAGER OWNER)
Parent organizationUNIVERSAL MEDICAL ASSOCIATES PLLC
| Provider | Location | Paid |
|---|---|---|
| Edgewater Medical Center and Urgent | Lillington, NC | $1.86M |
| Med Mart Medical Associates PLLC | Holly Springs, NC | $1.29M |
| Health Zone PLLC | Smithfield, NC | $903K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.