Clinic
Pinehurst Medical Clinic INC
Pinehurst Medical Clinic INC was paid $985K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 43% of everything it billed.
33Billing provider infoPINEHURST MEDICAL CLINIC INC
PINEHURST, NC 28374
PINEHURST, NC 28374
33aNPI1356421853assigned 10/17/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$985K
24GClaims7,197
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in North Carolina
Rank by total paid#12 of 89
Median peer was paid$104K
This provider vs. median9.5×
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 | 439 | $12K | |
| 2019 | 247 | $4K | |
| 2020 | 184 | $975.67 | |
| 2021 | 1,769 | $152K | |
| 2022 | 1,426 | $227K | |
| 2023 | 1,546 | $278K | |
| 2024incomplete | 1,586 | $311K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 43% | 2,452 | 1,930 | $423K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 26% | 1,600 | 1,221 | $254K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 22% | 1,142 | 859 | $218K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 5.6% | 202 | 166 | $55K |
| 43450 | 3.0% | 362 | 300 | $29K | |
| 99199 | Unlisted special service, procedure or report | <1% | 508 | 508 | $4K |
| 43235 | <1% | 13 | 13 | $1K | |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 918 | 860 | $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 officialENFINGER, BRANDON (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pinehurst Medical Clinic, INC. | Pinehurst, NC | $5.60M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.