Clinic
Community Medical, P.A.
Community Medical, P.A. was paid $93K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoCOMMUNITY MEDICAL, P.A.
MARSHVILLE, NC 28103
MARSHVILLE, NC 28103
33aNPI1396935193assigned 07/27/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$93K
24GClaims15,891
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#74 of 116
Median peer was paid$226K
This provider vs. median0.4×
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 | 1,868 | $15K | |
| 2019 | 930 | $18K | |
| 2020 | 493 | $9K | |
| 2021 | 781 | $8K | |
| 2022 | 2,143 | $11K | |
| 2023 | 2,605 | $8K | |
| 2024incomplete | 7,071 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 59% | 1,110 | 982 | $55K |
| 99199 | Unlisted special service, procedure or report | 33% | 11,377 | 11,105 | $31K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.5% | 77 | 65 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 642 | 564 | $829.74 |
| 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% | 13 | 12 | $477.38 |
| 82962 | <1% | 54 | 52 | $63.58 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 661 | 590 | $0.03 |
| 1036F | <1% | 481 | 427 | $0.03 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 96 | 90 | $0.01 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 241 | 226 | $0.01 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 404 | 373 | $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% | 81 | 64 | $0.00 |
8 more codes
| G8482 | Influenza immunization administered or previously received | 0% | 102 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 109 | $0.00 |
| 4004F | 0% | 20 | $0.00 | |
| G8404 | Lower extremity neurological exam performed and documented | 0% | 12 | $0.00 |
| 99000 | 0% | 282 | $0.00 | |
| 90688 | 0% | 25 | $0.00 | |
| 3017F | 0% | 85 | $0.00 | |
| 1126F | 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 officialQUEEN, BRANDI (PRESIDENT)