Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Davidson River Family Medicine PLLC

Davidson River Family Medicine PLLC was paid $278K by Medicaid between Jan 2019 and Dec 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoDAVIDSON RIVER FAMILY MEDICINE PLLC
BREVARD, NC 28712
33aNPI1376009787assigned 02/11/2019
28Total paid$278K
24GClaims7,406
24DCodes billed4
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#377 of 960
Median peer was paid$135K
This provider vs. median2.1×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2019796$25K
20201,053$35K
20211,524$46K
20221,291$46K
20231,259$58K
2024incomplete1,483$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51% 2,697 2,060 $141K
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 35% 1,227 962 $98K
80305 13% 3,444 2,642 $37K
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 <1% 38 24 $2K

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 officialLINDSAY, THOMAS (OWNER)
Parent organizationDAVIDSON RIVER FAMILY MEDICINE PLLC