Ave Maria Family Practice, PLLC

Ave Maria Family Practice, PLLC was paid $3.54M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoAVE MARIA FAMILY PRACTICE, PLLC
WILMINGTON, NC 28401

33aNPI1215205539assigned 12/01/2011

33bProvider typePrimary Care Clinic/Center

28Total paid$3.54M

24GClaims115,955

24DCodes billed62

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in North Carolina

Rank by total paid#11 of 116

Median peer was paid$226K

This provider vs. median16×

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	26,338	$1.09M
2019	16,216	$636K
2020	6,965	$342K
2021	13,973	$517K
2022	22,150	$529K
2023	17,461	$271K
2024incomplete	12,852	$154K

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	25%	15,564	7,705	$875K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	17%	7,233	1,452	$612K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	13,336	7,584	$612K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	9.6%	7,016	3,180	$341K
99354		7.7%	3,939	1,067	$273K
99493		5.4%	2,267	1,727	$190K
99494		4.7%	2,031	1,558	$167K
99199	Unlisted special service, procedure or report	4.1%	29,401	15,514	$145K
82542		3.0%	2,388	1,145	$105K
99051		1.3%	2,474	923	$48K
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%	240	212	$21K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	725	574	$19K

50 more codes

90853	Group psychotherapy (other than of a multiple-family group)	<1%	2,160	$18K
82570		<1%	2,388	$15K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,331	$14K
83986		<1%	2,388	$10K
99406		<1%	1,246	$10K
99408		<1%	368	$9K
81025		<1%	1,366	$8K
99492		<1%	56	$7K
81005		<1%	2,388	$6K
95886		<1%	69	$5K
36415	Collection of venous blood by venipuncture	<1%	3,530	$5K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	34	$3K
99490	Ccm add 20min	<1%	301	$3K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	204	$3K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	29	$2K
95912		<1%	13	$2K
90791	Psychiatric diagnostic evaluation	<1%	33	$2K
96127		<1%	300	$1K
81002		<1%	595	$970.12
G9919	Screening performed and positive and provision of recommendations	<1%	68	$951.40
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	78	$869.50
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed	<1%	916	$711.19
95908		<1%	18	$674.41
97760		<1%	71	$310.10
86703		<1%	12	$116.00
90688		<1%	134	$98.48
99484		<1%	17	$79.79
96160		<1%	50	$68.52
82962		<1%	18	$39.39
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	38	$6.00
3075F		<1%	717	$1.98
3008F		<1%	2,714	$0.02
3074F		<1%	1,598	$0.01
3078F		<1%	1,515	$0.01
3080F		0%	311	$0.00
3079F		0%	862	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	319	$0.00
G0008	Administration of influenza virus vaccine	0%	85	$0.00
G0442	Annual alcohol misuse screening, 5 to 15 minutes	0%	37	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	85	$0.00
G8418	Bmi is documented below normal parameters and a follow-up plan is documented	0%	19	$0.00
1034F		0%	31	$0.00
G0443	Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes	0%	21	$0.00
3077F		0%	393	$0.00
90756		0%	38	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	38	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	252	$0.00
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	0%	37	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	35	$0.00
3725F		0%	15	$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 officialAGBAFE-MOSLEY, DOROTHY (MEDICAL DIRECTOR)