Physician
East Carolina Medical Associates P.C
East Carolina Medical Associates P.C was paid $269K by Medicaid between Jan 2018 and Feb 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
33Billing provider infoEAST CAROLINA MEDICAL ASSOCIATES P.C
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
33aNPI1245255488assigned 07/12/2006
33bProvider typeGeriatric Medicine (Internal Medicine) Physician
28Total paid$269K
24GClaims41,507
24DCodes billed40
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Geriatric Medicine (Internal Medicine) Physician providers in North Carolina
Rank by total paid#5 of 20
Median peer was paid$26K
This provider vs. median10×
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 | 5,581 | $38K | |
| 2019 | 5,311 | $53K | |
| 2020 | 4,830 | $44K | |
| 2021 | 14,349 | $78K | |
| 2022 | 8,888 | $44K | |
| 2023 | 2,220 | $10K | |
| 2024incomplete | 328 | $1K |
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 | 70% | 6,386 | 4,093 | $188K |
| 99199 | Unlisted special service, procedure or report | 13% | 6,701 | 3,807 | $35K |
| 99454 | 3.5% | 661 | 327 | $9K | |
| 99457 | 2.9% | 654 | 324 | $8K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 629 | 123 | $8K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.0% | 2,275 | 1,524 | $5K |
| 99490 | Ccm add 20min | 1.3% | 667 | 398 | $4K |
| 99458 | 1.1% | 272 | 156 | $3K | |
| 80061 | Lipid panel | <1% | 466 | 326 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,863 | 1,930 | $2K |
| 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% | 92 | 55 | $2K |
| 99439 | <1% | 188 | 114 | $1K |
28 more codes
| 96116 | <1% | 53 | $657.91 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 253 | $635.10 |
| 99453 | <1% | 61 | $455.16 | |
| 99487 | Ccm add 20min | <1% | 29 | $227.50 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 23 | $203.75 |
| 93000 | <1% | 19 | $150.34 | |
| 90674 | <1% | 96 | $24.77 | |
| 90756 | <1% | 46 | $22.60 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 5,747 | $0.00 |
| 3077F | 0% | 450 | $0.00 | |
| 1160F | 0% | 1,167 | $0.00 | |
| 1159F | 0% | 1,168 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 336 | $0.00 |
| 3078F | 0% | 1,518 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 773 | $0.00 |
| 3008F | 0% | 2,819 | $0.00 | |
| 3079F | 0% | 330 | $0.00 | |
| 1111F | 0% | 1,336 | $0.00 | |
| 1170F | 0% | 586 | $0.00 | |
| 1125F | 0% | 728 | $0.00 | |
| 1126F | 0% | 608 | $0.00 | |
| 3074F | 0% | 1,137 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 157 | $0.00 |
| 0011A | 0% | 16 | $0.00 | |
| 91301 | 0% | 16 | $0.00 | |
| 3075F | 0% | 140 | $0.00 | |
| 3044F | 0% | 19 | $0.00 | |
| 90686 | 0% | 22 | $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 officialOSUNKOYA, ABAYOMI (CEO)