Senior Health Associates, P.A.

Senior Health Associates, P.A. was paid $713K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 38% of everything it billed.

33Billing provider infoSENIOR HEALTH ASSOCIATES, P.A.
WILMINGTON, NC 28401

33aNPI1396893640assigned 01/05/2007

33bProvider typeFamily Medicine Physician

28Total paid$713K

24GClaims41,720

24DCodes billed20

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#185 of 960

Median peer was paid$135K

This provider vs. median5.3×

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	7,611	$90K
2019	5,450	$116K
2020	6,427	$120K
2021	10,118	$196K
2022	4,729	$85K
2023	4,404	$56K
2024incomplete	2,981	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	38%	15,964	9,212	$272K
99310	Prolong nursin fac eval 15m	24%	6,469	4,551	$169K
99308	Subsequent nursing facility care, per day, straightforward	14%	7,278	5,029	$99K
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	9.2%	2,845	2,069	$66K
99307		6.9%	5,386	3,912	$50K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.9%	622	433	$20K
99306	Prolong nursin fac eval 15m	1.8%	388	343	$13K
99316		<1%	292	272	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	402	108	$6K
99199	Unlisted special service, procedure or report	<1%	1,159	1,110	$5K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	<1%	366	151	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	327	263	$3K

8 more codes

99223	Prolong inpt eval add15 m	<1%	32	$934.31
99239	Hospital discharge day management, more than 30 minutes	<1%	38	$234.48
99318		<1%	25	$171.00
99497		<1%	33	$166.27
G0179	Physician or allowed practitioner re-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%	25	$105.04
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%	21	$52.20
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	24	$47.45
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	24	$0.25

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 officialRUDYK, MARY (OWNER)