Physician
Eastern Physical Medicine & Rehabilitation, LLC
Eastern Physical Medicine & Rehabilitation, LLC was paid $2.26M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 37% of everything it billed.
33Billing provider infoEASTERN PHYSICAL MEDICINE & REHABILITATION, LLC
GREENVILLE, NC 27834
GREENVILLE, NC 27834
33aNPI1275857294assigned 03/19/2010
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$2.26M
24GClaims61,589
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in North Carolina
Rank by total paid#3 of 42
Median peer was paid$18K
This provider vs. median129×
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 | 9,048 | $341K | |
| 2019 | 9,883 | $292K | |
| 2020 | 9,047 | $321K | |
| 2021 | 10,750 | $427K | |
| 2022 | 10,225 | $405K | |
| 2023 | 9,388 | $351K | |
| 2024incomplete | 3,248 | $123K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 37% | 17,647 | 15,200 | $833K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 28,008 | 24,086 | $778K |
| 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 | 24% | 11,989 | 10,232 | $549K |
| 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 | 4.0% | 1,157 | 1,003 | $90K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 259 | 253 | $3K |
| 99406 | <1% | 267 | 260 | $2K | |
| 99408 | <1% | 67 | 65 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 165 | 157 | $2K |
| 20610 | <1% | 52 | 36 | $1K | |
| 99442 | <1% | 17 | 17 | $161.64 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 34 | 25 | $56.93 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,061 | 1,029 | $17.51 |
4 more codes
| 99497 | 0% | 23 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 312 | $0.00 |
| G9584 | Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy | 0% | 502 | $0.00 |
| 99199 | Unlisted special service, procedure or report | 0% | 29 | $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 officialSMITH, BILLY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Bes Group & Associates INC | Houston, TX | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.