Physician
Cape Fear Clinic, INC.
Cape Fear Clinic, INC. was paid $428K by Medicaid between Jul 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoCAPE FEAR CLINIC, INC.
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1316296635assigned 08/31/2012
33bProvider typeInternal Medicine Physician
28Total paid$428K
24GClaims37,699
24DCodes billed31
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#151 of 616
Median peer was paid$74K
This provider vs. median5.8×
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 | $2K | |
| 2019 | 38 | $4K | |
| 2020 | 41 | $3K | |
| 2021 | 1,451 | $43K | |
| 2022 | 4,560 | $64K | |
| 2023 | 8,960 | $97K | |
| 2024incomplete | 22,623 | $214K |
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 | 41% | 2,220 | 1,689 | $175K |
| 99199 | Unlisted special service, procedure or report | 25% | 18,012 | 7,461 | $107K |
| 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% | 1,419 | 1,078 | $74K |
| 99401 | 7.1% | 1,100 | 760 | $30K | |
| 99406 | 3.3% | 1,413 | 1,022 | $14K | |
| 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 | 2.8% | 110 | 94 | $12K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 489 | 314 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 35 | 32 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 92 | 70 | $3K |
| 0011A | <1% | 37 | 36 | $2K | |
| 0012A | <1% | 21 | 21 | $1K | |
| 0064A | <1% | 18 | 14 | $1K |
19 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 77 | $755.19 |
| 99442 | <1% | 12 | $564.00 | |
| 86580 | <1% | 148 | $108.40 | |
| 3078F | 0% | 1,356 | $0.00 | |
| 3725F | 0% | 74 | $0.00 | |
| 3077F | 0% | 333 | $0.00 | |
| 1159F | 0% | 531 | $0.00 | |
| 1160F | 0% | 531 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 43 | $0.00 |
| 3079F | 0% | 880 | $0.00 | |
| 1036F | 0% | 864 | $0.00 | |
| 1035F | 0% | 809 | $0.00 | |
| 1034F | 0% | 1,700 | $0.00 | |
| 3074F | 0% | 1,966 | $0.00 | |
| 3008F | 0% | 2,686 | $0.00 | |
| 3080F | 0% | 304 | $0.00 | |
| 91306 | 0% | 18 | $0.00 | |
| 91301 | 0% | 70 | $0.00 | |
| 3075F | 0% | 331 | $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 officialBUXTON, JENNIFER (DEPUTY DIRECTOR, PHARMACY SERVICES)
Parent organizationCAPE FEAR CLINIC, INC.