Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAVID PAUL ADAMS MD PA

NPI: 1447336003 · CARY, NC 27518 · Family Medicine Physician · NPI assigned 10/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ADAMS, DAVID controls 20+ related entities in our dataset. Read more

$300K
Total Medicaid Paid
29,576
Total Claims
18,801
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialADAMS, DAVID (PRESIDENT)
NPI Enumeration Date10/27/2006

Related Entities

Other providers sharing the same authorized official: ADAMS, DAVID

ProviderCityStateTotal Paid
IU ANESTHESIOLOGY ASSOCIATES-CHRONIC PAIN, LLC INDIANAPOLIS IN $1.71M
SHELBYVILLE CENTRAL SCHOOLS SHELBYVILLE IN $1.65M
WINN COMMUNITY HEALTH CENTER, INC. ALEXANDRIA LA $849K
WINN COMMUNITY HEALTH CENTER, INC. PINEVILLE LA $813K
WINN COMMUNITY HEALTH CENTER, INC. ALEXANDRIA LA $782K
WINN COMMUNITY HEALTH CENTER, INC. ALEXANDRIA LA $727K
WINN COMMUNITY HEALTH CENTER, INC. PINEVILLE LA $638K
WINN COMMUNITY HEALTH CENTER, INC. ALEXANDRIA LA $626K
WINN COMMUNITY HEALTH CENTER, INC. DEVILLE LA $504K
PATRIOT URGENT CARE PROFESSIONALS, PC WALTHAM MA $491K
WINN COMMUNITY HEALTH CENTER, INC. ALEXANDRIA LA $400K
WINN COMMUNITY HEALTH CENTER, INC. ALEXANDRIA LA $386K
WINN COMMUNITY HEALTH CENTER, INC. ALEXANDRIA LA $365K
WINN COMMUNITY HEALTH CENTER, INC. ALEXANDRIA LA $340K
WINN COMMUNITY HEALTH CENTER, INC. BALL LA $333K
PATRIOT URGENT CARE PROFESSIONALS, PC STONEHAM MA $328K
WINN COMMUNITY HEALTH CENTER, INC. ELMER LA $321K
WINN COMMUNITY HEALTH CENTER, INC. BALL LA $317K
WINN COMMUNITY HEALTH CENTER, INC. ALEXANDRIA LA $302K
WINN COMMUNITY HEALTH CENTER, INC. FOREST HILL LA $276K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,363 $49K
2019 4,934 $53K
2020 2,646 $34K
2021 4,743 $60K
2022 6,348 $62K
2023 5,366 $41K
2024 176 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,106 2,670 $224K
99199 Unlisted special service, procedure or report 9,500 5,583 $55K
99215 Prolong outpt/office vis 379 222 $18K
98960 5,436 3,584 $1K
0012A 26 18 $1K
81003 403 293 $613.28
94760 5,729 3,771 $368.51
0011A 26 14 $330.82
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,206 2,104 $123.83
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 86 78 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 644 434 $0.00
3074F 18 14 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 17 16 $0.00