Physician
Rowan Diagnostic Clinic P.A.
Rowan Diagnostic Clinic P.A. was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoROWAN DIAGNOSTIC CLINIC P.A.
SALISBURY, NC 28144
SALISBURY, NC 28144
33aNPI1477582120assigned 07/02/2006
33bProvider typeAllergy & Immunology (Internal Medicine) Physician
28Total paid$1.73M
24GClaims45,163
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
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 | 8,588 | $255K | |
| 2019 | 6,673 | $252K | |
| 2020 | 6,052 | $259K | |
| 2021 | 5,948 | $285K | |
| 2022 | 3,652 | $162K | |
| 2023 | 5,170 | $197K | |
| 2024incomplete | 9,080 | $321K |
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 | 37% | 13,693 | 11,662 | $643K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 25% | 13,569 | 4,620 | $440K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 3,424 | 2,955 | $123K |
| 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 | 6.4% | 1,154 | 987 | $112K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.3% | 2,065 | 935 | $92K |
| 99223 | Prolong inpt eval add15 m | 4.4% | 975 | 903 | $77K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 1,057 | 908 | $63K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.2% | 832 | 772 | $56K |
| 99205 | Prolong outpt/office vis | 1.6% | 270 | 231 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 286 | 266 | $17K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 219 | 206 | $13K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 91 | 85 | $11K |
34 more codes
| 99199 | Unlisted special service, procedure or report | <1% | 2,977 | $10K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 328 | $10K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 44 | $8K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,328 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 272 | $4K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 25 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 73 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 332 | $3K |
| 99220 | <1% | 26 | $2K | |
| 88313 | <1% | 16 | $2K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 16 | $1K |
| 0011A | <1% | 71 | $1K | |
| 88312 | <1% | 15 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 291 | $952.23 |
| 0012A | <1% | 23 | $845.00 | |
| 99225 | <1% | 23 | $620.95 | |
| 93000 | <1% | 103 | $497.75 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 31 | $480.16 |
| 99217 | <1% | 15 | $458.09 | |
| 94060 | <1% | 38 | $298.72 | |
| 99401 | <1% | 17 | $268.10 | |
| 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% | 115 | $204.62 |
| 99497 | <1% | 12 | $124.32 | |
| 36416 | <1% | 129 | $111.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $109.99 |
| 99407 | <1% | 13 | $109.52 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 22 | $107.24 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 21 | $100.00 |
| 82962 | <1% | 64 | $69.36 | |
| 94726 | <1% | 13 | $56.48 | |
| 94729 | <1% | 12 | $37.44 | |
| 81003 | <1% | 12 | $16.62 | |
| 3008F | 0% | 877 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 160 | $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 officialVERHAEGHE, PAUL (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Rowan Diagnostic Clinic, PA | Faith, NC | $7K |
| Rowan Diagnostic Clinic Family Medicine | Salisbury, NC | $5K |
| Rowan Diagnostic Clinic, PA | Salisbury, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.