Physician
Down East Diabetology, PA
Down East Diabetology, PA was paid $2.28M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoDOWN EAST DIABETOLOGY, PA
GREENVILLE, NC 27834
GREENVILLE, NC 27834
33aNPI1235527151assigned 12/30/2014
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$2.28M
24GClaims46,985
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in North Carolina
Rank by total paid#2 of 49
Median peer was paid$33K
This provider vs. median70×
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 | 4,129 | $190K | |
| 2019 | 4,897 | $260K | |
| 2020 | 5,396 | $295K | |
| 2021 | 9,279 | $385K | |
| 2022 | 8,855 | $432K | |
| 2023 | 8,141 | $404K | |
| 2024incomplete | 6,288 | $317K |
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 | 42% | 10,200 | 8,494 | $963K |
| 99205 | Prolong outpt/office vis | 20% | 2,747 | 2,229 | $455K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 2,652 | 2,144 | $314K |
| 97803 | 9.2% | 4,555 | 3,959 | $211K | |
| 97802 | 5.9% | 1,579 | 1,392 | $135K | |
| 80061 | Lipid panel | 3.3% | 5,143 | 4,193 | $74K |
| 83036 | Hemoglobin; glycosylated (A1C) | 3.1% | 7,090 | 5,706 | $72K |
| 82947 | 1.1% | 6,245 | 4,953 | $26K | |
| 95251 | <1% | 723 | 558 | $18K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,453 | 4,459 | $13K |
| 82043 | <1% | 400 | 304 | $3K | |
| 36416 | <1% | 198 | 159 | $6.32 |
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 officialHOWELL, AMY (PRESIDENT)