NP / PA
Progressive Diabetes Care, PLLC
Progressive Diabetes Care, PLLC was paid $8K by Medicaid between Jan 2018 and Oct 2019, across 2 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 94% of everything it billed.
33Billing provider infoPROGRESSIVE DIABETES CARE, PLLC
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
33aNPI1417381195assigned 08/29/2013
33bProvider typeFamily Nurse Practitioner
28Total paid$8K
24GClaims257
24DCodes billed2
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Family Nurse Practitioner providers in North Carolina
Rank by total paid#82 of 147
Median peer was paid$12K
This provider vs. median0.7×
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 | 167 | $6K | |
| 2019 | 90 | $2K |
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 | 94% | 243 | 222 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.2% | 14 | 13 | $495.74 |
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 officialDOYLE, MELISSA (OWNER/FAMILY NURSE PRACTITIONER)
| Provider | Location | Paid |
|---|---|---|
| Valley Community Services Board | Staunton, VA | $59.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.