RDMG Associates, PA
RDMG Associates, PA was paid $306K by Medicaid between Jan 2019 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
FAYETTEVILLE, NC 28304
Next to other Internal Medicine Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 4,262 | $23K | |
| 2020 | 4,613 | $24K | |
| 2021 | 13,612 | $53K | |
| 2022 | 15,722 | $67K | |
| 2023 | 18,634 | $64K | |
| 2024incomplete | 19,310 | $75K |
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 | 67% | 5,970 | 4,719 | $205K |
| 99199 | Unlisted special service, procedure or report | 31% | 21,336 | 14,166 | $95K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 192 | 158 | $6K |
| 95251 | <1% | 25 | 24 | $295.67 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 26 | 19 | $289.08 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 35 | 35 | $94.11 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 5,432 | 4,579 | $37.09 |
| 99072 | <1% | 46 | 40 | $3.81 | |
| 4035F | <1% | 3,167 | 2,670 | $1.96 | |
| 1159F | <1% | 8,354 | 6,954 | $0.69 | |
| 1160F | <1% | 8,317 | 6,925 | $0.69 | |
| 3074F | <1% | 3,148 | 2,647 | $0.33 |
15 more codes
| 3078F | <1% | 2,820 | $0.24 | |
| 3008F | <1% | 7,144 | $0.20 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,758 | $0.18 |
| 3079F | <1% | 315 | $0.04 | |
| 1036F | <1% | 3,908 | $0.01 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,602 | $0.01 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 1,050 | $0.01 |
| 3075F | 0% | 26 | $0.00 | |
| 4010F | 0% | 26 | $0.00 | |
| 3060F | 0% | 63 | $0.00 | |
| 4037F | 0% | 17 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 32 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 221 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 14 | $0.00 |
| 4013F | 0% | 109 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Raleigh Durham Medical Group, PA | Clayton, NC | $3.74M |
| RDMG Associates, PA | Spindale, NC | $1.88M |
| RDMG Associates PA | Roxboro, NC | $1.46M |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $918K |
| Raleigh Durham Medical Group PA | Durham, NC | $756K |
| Raleigh Durham Medical Group, PA | Durham, NC | $748K |
| Raleigh Durham Medical Group PA | Cary, NC | $577K |
| RDMG Associates PA | Morganton, NC | $552K |
| RDMG Associates PA | Shallotte, NC | $432K |
| RDMG Associates PA | Black Mountain, NC | $349K |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $331K |
| RDMG Associates PA | Smithfield, NC | $234K |
| RDMG Associates, PA | Asheville, NC | $179K |
| RDMG Associates, PA | Raleigh, NC | $103K |
| RDMG Associates PA | Asheville, NC | $78K |
| RDMG Associates, PA | Wilmington, NC | $55K |
| RDMG Associates PA | Asheville, NC | $51K |
| RDMG Associates, PA | Morehead City, NC | $20K |
| RDMG Associates PA | Wilmington, NC | $13K |
| Raleigh Durham Medical Group PA | Cary, NC | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.