NP / PA
Southern Medical Associates
Southern Medical Associates was paid $395K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 49% of everything it billed.
33Billing provider infoSOUTHERN MEDICAL ASSOCIATES
MORGANTON, NC 28655
MORGANTON, NC 28655
33aNPI1356890776assigned 09/27/2016
33bProvider typeNurse Practitioner
28Total paid$395K
24GClaims45,446
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nurse Practitioner providers in North Carolina
Rank by total paid#20 of 93
Median peer was paid$18K
This provider vs. median21×
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 | 1,649 | $35K | |
| 2019 | 1,359 | $37K | |
| 2020 | 785 | $21K | |
| 2021 | 3,785 | $48K | |
| 2022 | 7,909 | $59K | |
| 2023 | 10,372 | $70K | |
| 2024incomplete | 19,587 | $125K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 49% | 36,602 | 15,679 | $194K |
| 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 | 21% | 2,092 | 1,523 | $83K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 1,929 | 1,463 | $64K |
| 99336 | 7.3% | 1,145 | 730 | $29K | |
| 99335 | 2.5% | 549 | 357 | $10K | |
| 99337 | 1.7% | 145 | 96 | $7K | |
| 99349 | 1.6% | 203 | 170 | $6K | |
| 99406 | <1% | 627 | 546 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | 26 | $177.59 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 28 | 26 | $63.74 |
| 3074F | <1% | 347 | 278 | $0.17 | |
| 1160F | <1% | 652 | 523 | $0.15 |
11 more codes
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 officialMCGEE, CRAIG (MANAGER)