Physician
Lexington Family Physicians PA
Lexington Family Physicians PA was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoLEXINGTON FAMILY PHYSICIANS PA
LEXINGTON, NC 27292
LEXINGTON, NC 27292
33aNPI1467449728assigned 10/03/2005
33bProvider typeFamily Medicine Physician
28Total paid$1.18M
24GClaims90,428
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#120 of 960
Median peer was paid$135K
This provider vs. median8.7×
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 | 4,903 | $166K | |
| 2019 | 4,662 | $181K | |
| 2020 | 2,599 | $100K | |
| 2021 | 9,763 | $161K | |
| 2022 | 23,224 | $212K | |
| 2023 | 22,206 | $197K | |
| 2024incomplete | 23,071 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 11,709 | 9,689 | $596K |
| 99199 | Unlisted special service, procedure or report | 19% | 64,872 | 52,215 | $224K |
| 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 | 9.9% | 1,721 | 1,434 | $117K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.2% | 3,900 | 2,938 | $61K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 460 | 385 | $40K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.0% | 965 | 762 | $35K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 344 | 301 | $28K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 1,446 | 692 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 224 | 162 | $16K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 489 | 409 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 109 | 100 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 486 | 340 | $7K |
18 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 398 | $4K |
| 99401 | <1% | 128 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 151 | $1K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 29 | $988.26 |
| 90651 | <1% | 36 | $654.48 | |
| 90686 | <1% | 1,062 | $588.67 | |
| 99173 | <1% | 1,042 | $508.81 | |
| D1206 | Topical application of fluoride varnish | <1% | 29 | $436.28 |
| 90688 | <1% | 56 | $376.05 | |
| 90474 | <1% | 12 | $245.40 | |
| 92551 | <1% | 248 | $141.94 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 54 | $91.80 |
| 90734 | 0% | 35 | $0.00 | |
| 90670 | 0% | 29 | $0.00 | |
| 90685 | 0% | 17 | $0.00 | |
| 90698 | 0% | 29 | $0.00 | |
| 3008F | 0% | 334 | $0.00 | |
| 90680 | 0% | 14 | $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 officialDORTON, TED (PRACTICE ADMINISTRATOR)