Physician
Med Mart Medical Associates PLLC
Med Mart Medical Associates PLLC was paid $1.29M by Medicaid between Jan 2018 and Nov 2022, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoMED MART MEDICAL ASSOCIATES PLLC
HOLLY SPRINGS, NC 27540
HOLLY SPRINGS, NC 27540
33aNPI1326217399assigned 02/25/2008
33bProvider typeInternal Medicine Physician
28Total paid$1.29M
24GClaims87,915
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#63 of 616
Median peer was paid$74K
This provider vs. median17×
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 | 9,072 | $208K | |
| 2019 | 11,071 | $245K | |
| 2020 | 13,266 | $216K | |
| 2021 | 21,523 | $322K | |
| 2022 | 32,983 | $296K |
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 | 29% | 6,145 | 4,494 | $379K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 7,964 | 5,908 | $343K |
| 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 | 14% | 1,809 | 1,399 | $181K |
| 99199 | Unlisted special service, procedure or report | 13% | 28,835 | 18,366 | $170K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 902 | 778 | $68K |
| 99051 | 5.2% | 3,639 | 2,860 | $67K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 697 | 450 | $11K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,191 | 737 | $10K |
| 80305 | <1% | 1,089 | 804 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 799 | 338 | $8K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 669 | 552 | $7K |
| 81025 | <1% | 1,205 | 798 | $5K |
30 more codes
| 81002 | <1% | 2,760 | $4K | |
| 99401 | <1% | 885 | $4K | |
| 96160 | <1% | 1,702 | $4K | |
| 99406 | <1% | 456 | $3K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 170 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 33 | $3K |
| 93000 | <1% | 236 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 211 | $1K |
| 94010 | <1% | 140 | $1K | |
| 82962 | <1% | 756 | $919.66 | |
| 90674 | <1% | 122 | $906.52 | |
| 87905 | <1% | 37 | $403.00 | |
| 90756 | <1% | 23 | $275.60 | |
| 87808 | <1% | 17 | $141.30 | |
| 3008F | 0% | 5,288 | $0.00 | |
| 1034F | 0% | 468 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 831 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 746 | $0.00 |
| 3075F | 0% | 1,084 | $0.00 | |
| 3074F | 0% | 4,427 | $0.00 | |
| 3080F | 0% | 1,054 | $0.00 | |
| 3079F | 0% | 1,797 | $0.00 | |
| 1036F | 0% | 536 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 20 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 100 | $0.00 |
| 3078F | 0% | 4,064 | $0.00 | |
| 3077F | 0% | 1,454 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,460 | $0.00 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | 0% | 71 | $0.00 |
| 99072 | 0% | 23 | $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 officialREYES, RODOLFO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Edgewater Medical Center and Urgent | Lillington, NC | $1.86M |
| Universal Medical Associates, PLLC | Raleigh, NC | $1.52M |
| Health Zone PLLC | Smithfield, NC | $903K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.