Clinic
Southeastern Regional Physician Services
Southeastern Regional Physician Services was paid $6.76M by Medicaid between Jan 2018 and Oct 2023, across 81 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 30% of everything it billed.
33Billing provider infoSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
LUMBERTON, NC 28358
LUMBERTON, NC 28358
33aNPI1427282045assigned 05/11/2009
33bProvider typeRural Health Clinic/Center
28Total paid$6.76M
24GClaims317,915
24DCodes billed81
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Rural Health Clinic/Center providers in North Carolina
Rank by total paid#3 of 65
Median peer was paid$156K
This provider vs. median43×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JOHNSON, CHARLES controls 13+ related entities in our dataset. Read more
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 | 33,429 | $1.22M | |
| 2019 | 39,437 | $1.53M | |
| 2020 | 36,034 | $1.32M | |
| 2021 | 81,871 | $1.67M | |
| 2022 | 94,883 | $912K | |
| 2023 | 32,261 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 30% | 29,685 | 22,543 | $2.02M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 54,657 | 32,011 | $1.73M |
| 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 | 19% | 29,908 | 21,713 | $1.29M |
| 99199 | Unlisted special service, procedure or report | 5.9% | 102,729 | 98,703 | $399K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.2% | 11,777 | 5,425 | $218K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 4,098 | 2,767 | $216K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 14,580 | 3,473 | $97K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 1.1% | 89 | 76 | $75K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.0% | 749 | 604 | $68K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 9,531 | 4,537 | $65K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,960 | 3,559 | $60K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,342 | 2,439 | $44K |
69 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 552 | $33K |
| 99051 | <1% | 1,430 | $33K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 658 | $30K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 678 | $30K |
| 76801 | <1% | 345 | $28K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 43 | $28K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 391 | $27K |
| 81003 | <1% | 12,859 | $26K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 440 | $23K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 474 | $19K |
| 59025 | Fetal non-stress test | <1% | 953 | $18K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 118 | $17K |
| 99442 | <1% | 706 | $17K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,798 | $13K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 388 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,649 | $11K |
| 51798 | <1% | 1,808 | $11K | |
| 51702 | <1% | 401 | $10K | |
| 81025 | <1% | 1,831 | $10K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 76 | $10K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 86 | $9K |
| 90686 | <1% | 1,616 | $9K | |
| 85018 | <1% | 2,662 | $6K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 44 | $6K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 70 | $6K |
| 94664 | <1% | 1,234 | $5K | |
| 81001 | <1% | 3,191 | $4K | |
| 95811 | <1% | 41 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,240 | $3K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 27 | $3K |
| 43235 | <1% | 64 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 104 | $2K |
| 90670 | <1% | 65 | $1K | |
| 99218 | <1% | 26 | $1K | |
| 90715 | <1% | 55 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 60 | $1K |
| 52332 | <1% | 23 | $1K | |
| 90732 | <1% | 97 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 22 | $1K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 38 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 116 | $937.61 |
| 82962 | <1% | 869 | $929.14 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 338 | $923.77 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 29 | $724.79 |
| 0001A | <1% | 14 | $652.82 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,357 | $473.62 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 280 | $430.05 |
| 99406 | <1% | 219 | $417.96 | |
| 94016 | <1% | 140 | $408.27 | |
| 99221 | <1% | 51 | $367.80 | |
| 99490 | Ccm add 20min | <1% | 53 | $367.78 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 165 | $317.70 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | $312.27 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 2,026 | $211.28 |
| 81002 | <1% | 53 | $156.00 | |
| 87210 | <1% | 46 | $145.61 | |
| 93000 | <1% | 14 | $125.02 | |
| 3044F | <1% | 747 | $27.74 | |
| 95806 | <1% | 37 | $17.06 | |
| 4010F | <1% | 705 | $4.76 | |
| 4086F | 0% | 490 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 91 | $0.00 |
| 3079F | 0% | 18 | $0.00 | |
| 3074F | 0% | 135 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 40 | $0.00 |
| 3078F | 0% | 306 | $0.00 | |
| 2022F | 0% | 29 | $0.00 | |
| 91300 | 0% | 49 | $0.00 | |
| 3077F | 0% | 15 | $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 officialJOHNSON, CHARLES (CFO)
| Provider | Location | Paid |
|---|---|---|
| HD Industries, LLC | Portland, OR | $2.67M |
| Southeastern Regional Medical Center | Lumberton, NC | $1.52M |
| Southeastern Regioinal Medical Center | Lumberton, NC | $874K |
| Southeastern Regional Physician Services | Lumberton, NC | $685K |
| Southeastern Regional Medical Center | Lumberton, NC | $430K |
| Tei and Associates LLC | Sugar Land, TX | $204K |
| Southeastern Regional Physician Services | Lumberton, NC | $168K |
| Mobile Gastroenterology, PC | Mobile, AL | $55K |
| Southeastern Regioinal Medical Center | Lumberton, NC | $51K |
| Southeastern Regional Physician Services | Hope Mills, NC | $27K |
| Southeastern Regional Physician Services | Lumberton, NC | $3K |
| Tei and Associates LLC | Angleton, TX | $2K |
| Southeastern Regional Medical Center | Lumberton, NC | $690.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.