RDMG Associates PA
RDMG Associates PA was paid $1.46M by Medicaid between Jan 2018 and Apr 2023, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
ROXBORO, NC 27573
Next to other Pediatrics Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 42,819 | $261K | |
| 2019 | 54,147 | $337K | |
| 2020 | 42,797 | $282K | |
| 2021 | 62,313 | $508K | |
| 2022 | 11,553 | $72K | |
| 2023 | 74 | $195.00 |
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 | 30% | 7,332 | 5,620 | $445K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 7,504 | 5,757 | $343K |
| 99199 | Unlisted special service, procedure or report | 11% | 23,735 | 12,460 | $168K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.5% | 2,949 | 2,176 | $109K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.9% | 1,411 | 1,058 | $101K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 1,402 | 1,006 | $94K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 709 | 526 | $54K |
| D0145 | Oral evaluation for a patient under three years of age | 1.7% | 961 | 765 | $25K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.7% | 626 | 455 | $25K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 2,132 | 1,529 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 169 | 133 | $14K |
| D1206 | Topical application of fluoride varnish | <1% | 1,102 | 809 | $12K |
65 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,389 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 483 | $10K |
| 80061 | Lipid panel | <1% | 509 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 416 | $5K |
| 99490 | Ccm add 20min | <1% | 608 | $5K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 158 | $4K |
| 96127 | <1% | 1,399 | $4K | |
| 87807 | <1% | 217 | $3K | |
| 99051 | <1% | 67 | $2K | |
| 90688 | <1% | 1,128 | $1K | |
| 92551 | <1% | 1,628 | $1K | |
| 96161 | <1% | 296 | $943.67 | |
| 0071A | <1% | 24 | $715.00 | |
| 99173 | <1% | 1,558 | $292.18 | |
| 90651 | <1% | 13 | $257.98 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 41 | $179.55 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $145.90 |
| 90734 | <1% | 13 | $144.94 | |
| 94664 | <1% | 21 | $133.56 | |
| 81003 | <1% | 37 | $49.86 | |
| 90687 | <1% | 385 | $18.21 | |
| 94760 | <1% | 121 | $2.07 | |
| 1159F | <1% | 22,008 | $1.55 | |
| 1160F | <1% | 20,372 | $1.55 | |
| 3008F | <1% | 15,669 | $1.30 | |
| 3074F | <1% | 7,929 | $0.73 | |
| 3078F | <1% | 7,167 | $0.69 | |
| 36416 | <1% | 1,072 | $0.68 | |
| 1126F | <1% | 2,387 | $0.08 | |
| 3037F | <1% | 17,469 | $0.03 | |
| 3079F | <1% | 1,036 | $0.03 | |
| 4010F | <1% | 14 | $0.01 | |
| 3028F | 0% | 17,998 | $0.00 | |
| 3725F | 0% | 1,579 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 530 | $0.00 |
| 90648 | 0% | 566 | $0.00 | |
| 4035F | 0% | 3,553 | $0.00 | |
| 3288F | 0% | 4,645 | $0.00 | |
| 0518F | 0% | 1,784 | $0.00 | |
| 1100F | 0% | 760 | $0.00 | |
| 90670 | 0% | 961 | $0.00 | |
| 90633 | 0% | 214 | $0.00 | |
| 1158F | 0% | 16 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 49 | $0.00 |
| 3077F | 0% | 36 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 22 | $0.00 |
| 90707 | 0% | 24 | $0.00 | |
| 4013F | 0% | 12 | $0.00 | |
| 1036F | 0% | 6,606 | $0.00 | |
| 1000F | 0% | 6,399 | $0.00 | |
| 1034F | 0% | 426 | $0.00 | |
| 4037F | 0% | 2,078 | $0.00 | |
| 1022F | 0% | 1,826 | $0.00 | |
| 99000 | 0% | 1,169 | $0.00 | |
| 1101F | 0% | 4,482 | $0.00 | |
| 3048F | 0% | 105 | $0.00 | |
| 90680 | 0% | 490 | $0.00 | |
| 90723 | 0% | 145 | $0.00 | |
| 3075F | 0% | 149 | $0.00 | |
| 1125F | 0% | 283 | $0.00 | |
| 90716 | 0% | 27 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 44 | $0.00 |
| 1157F | 0% | 15 | $0.00 | |
| 90686 | 0% | 19 | $0.00 | |
| 90698 | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Raleigh Durham Medical Group, PA | Clayton, NC | $3.74M |
| RDMG Associates, PA | Spindale, NC | $1.88M |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $918K |
| Raleigh Durham Medical Group PA | Durham, NC | $756K |
| Raleigh Durham Medical Group, PA | Durham, NC | $748K |
| Raleigh Durham Medical Group PA | Cary, NC | $577K |
| RDMG Associates PA | Morganton, NC | $552K |
| RDMG Associates PA | Shallotte, NC | $432K |
| RDMG Associates PA | Black Mountain, NC | $349K |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $331K |
| RDMG Associates, PA | Fayetteville, NC | $306K |
| RDMG Associates PA | Smithfield, NC | $234K |
| RDMG Associates, PA | Asheville, NC | $179K |
| RDMG Associates, PA | Raleigh, NC | $103K |
| RDMG Associates PA | Asheville, NC | $78K |
| RDMG Associates, PA | Wilmington, NC | $55K |
| RDMG Associates PA | Asheville, NC | $51K |
| RDMG Associates, PA | Morehead City, NC | $20K |
| RDMG Associates PA | Wilmington, NC | $13K |
| Raleigh Durham Medical Group PA | Cary, NC | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.