Physician
Wilson Medical Group, PLLC
Wilson Medical Group, PLLC was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 33% of everything it billed.
33Billing provider infoWILSON MEDICAL GROUP, PLLC
WILSON, NC 27896
WILSON, NC 27896
33aNPI1376564625assigned 07/22/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.51M
24GClaims128,863
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#51 of 616
Median peer was paid$74K
This provider vs. median20×
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 | 6,678 | $136K | |
| 2019 | 4,192 | $160K | |
| 2020 | 3,850 | $123K | |
| 2021 | 12,031 | $201K | |
| 2022 | 24,396 | $248K | |
| 2023 | 27,820 | $236K | |
| 2024incomplete | 49,896 | $404K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 33% | 76,348 | 39,693 | $499K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 15,806 | 12,389 | $458K |
| 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 | 22% | 8,495 | 6,781 | $326K |
| 99375 | 4.2% | 694 | 657 | $64K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.9% | 3,338 | 2,699 | $29K |
| 80061 | Lipid panel | 1.5% | 2,287 | 1,780 | $22K |
| 80053 | Comprehensive metabolic panel | 1.1% | 2,880 | 2,248 | $16K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,800 | 2,157 | $14K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,080 | 854 | $10K |
| 0012A | <1% | 153 | 115 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,090 | 828 | $7K |
| 87428 | <1% | 211 | 150 | $6K |
53 more codes
| 90674 | <1% | 468 | $5K | |
| 0013A | <1% | 160 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,529 | $5K |
| 0011A | <1% | 162 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 375 | $3K |
| 99401 | <1% | 162 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 153 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 30 | $2K |
| 90756 | <1% | 216 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 73 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 83735 | <1% | 234 | $1K | |
| 90661 | <1% | 88 | $1K | |
| 91322 | <1% | 22 | $1K | |
| 0002A | <1% | 17 | $950.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 16 | $924.66 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 195 | $839.63 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 161 | $761.90 |
| 81003 | <1% | 351 | $415.74 | |
| 93000 | <1% | 42 | $396.08 | |
| 90480 | <1% | 39 | $340.68 | |
| 83525 | <1% | 39 | $324.53 | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 12 | $147.42 |
| 90686 | <1% | 15 | $115.85 | |
| G0008 | Administration of influenza virus vaccine | <1% | 275 | $109.58 |
| 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% | 139 | $104.81 |
| 99490 | Ccm add 20min | <1% | 16 | $82.19 |
| 84550 | <1% | 18 | $70.20 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 14 | $41.00 |
| 99415 | Prolong outpt/office vis | <1% | 47 | $22.44 |
| 3044F | <1% | 275 | $20.00 | |
| 92552 | <1% | 17 | $4.47 | |
| 3017F | 0% | 414 | $0.00 | |
| 3074F | 0% | 1,450 | $0.00 | |
| 91301 | 0% | 450 | $0.00 | |
| 3079F | 0% | 764 | $0.00 | |
| 3075F | 0% | 290 | $0.00 | |
| 1170F | 0% | 74 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 27 | $0.00 |
| 1125F | 0% | 35 | $0.00 | |
| 3080F | 0% | 14 | $0.00 | |
| 90694 | 0% | 17 | $0.00 | |
| 3078F | 0% | 1,117 | $0.00 | |
| 4040F | 0% | 133 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 55 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 948 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 382 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 15 | $0.00 |
| 91300 | 0% | 46 | $0.00 | |
| 90653 | 0% | 20 | $0.00 | |
| 2026F | 0% | 25 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 19 | $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 officialHERON, KERRIE-ANNE (MEMBER MANAGER)