Physician
Bladen East Medical
Bladen East Medical was paid $447K by Medicaid between Jan 2018 and Oct 2022, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoBLADEN EAST MEDICAL
COUNCIL, NC 28434
COUNCIL, NC 28434
33aNPI1417071283assigned 03/19/2007
33bProvider typeFamily Medicine Physician
28Total paid$447K
24GClaims21,334
24DCodes billed41
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#282 of 960
Median peer was paid$135K
This provider vs. median3.3×
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 | 1,893 | $98K | |
| 2019 | 4,696 | $163K | |
| 2020 | 6,957 | $171K | |
| 2021 | 5,917 | $15K | |
| 2022 | 1,871 | $315.62 |
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 | 63% | 8,339 | 6,436 | $284K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 4,715 | 3,467 | $122K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 3.1% | 565 | 395 | $14K |
| 99443 | 2.7% | 650 | 314 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 145 | 105 | $6K |
| 99442 | <1% | 216 | 115 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 473 | 332 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 240 | 164 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 163 | 91 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 154 | 127 | $854.83 |
| 99441 | <1% | 80 | 62 | $474.37 | |
| 92552 | <1% | 449 | 283 | $442.43 |
29 more codes
| 90756 | <1% | 122 | $352.44 | |
| 99051 | <1% | 31 | $314.76 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 64 | $228.90 |
| 36415 | Collection of venous blood by venipuncture | <1% | 414 | $168.14 |
| 81002 | <1% | 316 | $135.32 | |
| 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% | 23 | $93.03 |
| 90686 | <1% | 56 | $49.65 | |
| 98967 | <1% | 548 | $37.18 | |
| 99401 | <1% | 575 | $29.09 | |
| 98966 | <1% | 195 | $28.71 | |
| 96160 | <1% | 221 | $23.46 | |
| 3079F | <1% | 197 | $0.01 | |
| 3074F | 0% | 505 | $0.00 | |
| 3008F | 0% | 45 | $0.00 | |
| 3075F | 0% | 159 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 115 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 65 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 20 | $0.00 |
| 3080F | 0% | 20 | $0.00 | |
| 3078F | 0% | 561 | $0.00 | |
| 99173 | 0% | 561 | $0.00 | |
| 3077F | 0% | 117 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 87 | $0.00 |
| 1159F | 0% | 14 | $0.00 | |
| 1160F | 0% | 17 | $0.00 | |
| 99497 | 0% | 22 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 50 | $0.00 |
| 81025 | 0% | 12 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $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 officialGERALD, CARVIN (COO)
| Provider | Location | Paid |
|---|---|---|
| G&G Healthcare,pc Whiteville | Whiteville, NC | $936K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.