David Paul Adams MD PA

David Paul Adams MD PA was paid $300K by Medicaid between Jan 2018 and Mar 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.

33Billing provider infoDAVID PAUL ADAMS MD PA
CARY, NC 27518

33aNPI1447336003assigned 10/27/2006

33bProvider typeFamily Medicine Physician

28Total paid$300K

24GClaims29,576

24DCodes billed13

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#359 of 960

Median peer was paid$135K

This provider vs. median2.2×

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 ADAMS, DAVID controls 20+ 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	5,363	$49K
2019	4,934	$53K
2020	2,646	$34K
2021	4,743	$60K
2022	6,348	$62K
2023	5,366	$41K
2024incomplete	176	$1K

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	75%	4,106	2,670	$224K
99199	Unlisted special service, procedure or report	18%	9,500	5,583	$55K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.1%	379	222	$18K
98960		<1%	5,436	3,584	$1K
0012A		<1%	26	18	$1K
81003		<1%	403	293	$613.28
94760		<1%	5,729	3,771	$368.51
0011A		<1%	26	14	$330.82
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	3,206	2,104	$123.83
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	86	78	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	644	434	$0.00
3074F		0%	18	14	$0.00

1 more codes

85025

Blood count; complete (CBC), automated, and automated differential WBC count

$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 officialADAMS, DAVID (PRESIDENT)

Same official

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.