Clinic
Shalom Medical PC
Shalom Medical PC was paid $420K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoSHALOM MEDICAL PC
JACKSONVILLE, NC 28540
JACKSONVILLE, NC 28540
33aNPI1467759985assigned 02/18/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$420K
24GClaims19,703
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#43 of 116
Median peer was paid$226K
This provider vs. median1.9×
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 | 1,454 | $45K | |
| 2019 | 1,453 | $59K | |
| 2020 | 1,379 | $61K | |
| 2021 | 2,740 | $56K | |
| 2022 | 4,064 | $72K | |
| 2023 | 4,409 | $68K | |
| 2024incomplete | 4,204 | $58K |
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 | 44% | 3,883 | 2,930 | $187K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 5,155 | 3,510 | $173K |
| 99199 | Unlisted special service, procedure or report | 9.0% | 7,824 | 4,680 | $38K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 3.4% | 614 | 602 | $14K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 27 | 24 | $2K |
| 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% | 14 | 13 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 881 | 624 | $1K |
| 94010 | <1% | 108 | 82 | $865.56 | |
| 99386 | <1% | 16 | 12 | $736.45 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 68 | 58 | $645.78 |
| 99490 | Ccm add 20min | <1% | 55 | 53 | $439.65 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 59 | 35 | $237.25 |
10 more codes
| 90661 | <1% | 20 | $130.60 | |
| 3008F | 0% | 158 | $0.00 | |
| 3074F | 0% | 507 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 35 | $0.00 |
| 90674 | 0% | 146 | $0.00 | |
| 90656 | 0% | 24 | $0.00 | |
| 99000 | 0% | 44 | $0.00 | |
| 3017F | 0% | 20 | $0.00 | |
| 90686 | 0% | 25 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 20 | $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 officialMOZIE, BENJAMIN (MEDICAL DIRECTOR/PRESIDENT)