Vidant Medical Group LLC

Vidant Medical Group LLC was paid $77.90M by Medicaid between Jan 2018 and Dec 2024, across 366 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.

33Billing provider infoVIDANT MEDICAL GROUP LLC
GREENVILLE, NC 27834

33aNPI1477648731assigned 10/04/2006

33bProvider typeMulti-Specialty Clinic/Center

28Total paid$77.90M

24GClaims3,685,452

24DCodes billed366

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Multi-Specialty Clinic/Center providers in North Carolina

Rank by total paid#2 of 69

Median peer was paid$333K

This provider vs. median234×

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	261,363	$7.06M
2019	296,795	$9.09M
2020	245,927	$7.55M
2021	378,962	$9.98M
2022	747,496	$13.92M
2023	837,161	$14.55M
2024incomplete	917,748	$15.75M

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	19%	342,078	273,990	$14.61M
99199	Unlisted special service, procedure or report	16%	1,717,585	756,147	$12.11M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	241,210	200,662	$9.10M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	9.8%	119,819	99,041	$7.63M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	5.9%	109,461	95,238	$4.61M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.5%	119,609	40,632	$3.49M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	4.4%	90,933	31,117	$3.42M
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	2.4%	15,710	13,459	$1.88M
99223	Prolong inpt eval add15 m	2.0%	20,970	15,742	$1.53M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	1.8%	16,894	14,598	$1.44M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.6%	13,434	12,281	$1.21M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.5%	19,694	15,966	$1.20M

354 more codes

99204	Doctor's office visit, new patient (more involved)	1.5%	15,387	$1.18M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	1.4%	15,641	$1.11M
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	1.3%	23,298	$1.04M
99239	Hospital discharge day management, more than 30 minutes	1.1%	22,137	$839K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	8,372	$750K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	40,331	$706K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	24,072	$706K
90472	Immunization administration, each additional vaccine (list separately)	<1%	23,121	$684K
99285	Emergency room visit (most serious)	<1%	8,262	$508K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	159,273	$499K
99215	Doctor's office visit, returning patient (complex)	<1%	10,456	$381K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	7,889	$356K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	3,416	$335K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	4,398	$335K
95810	Polysomnography; sleep staging with 4 or more additional parameters	<1%	1,216	$317K
88307		<1%	4,779	$263K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	9,844	$249K
99238	Hospital discharge day management, 30 minutes or less	<1%	5,093	$248K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	3,808	$239K
59400	Routine obstetric care including antepartum care, vaginal delivery, and postpartum care	<1%	183	$237K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	23,754	$197K
99460		<1%	2,180	$169K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	11,755	$151K
80053	Comprehensive metabolic panel	<1%	16,936	$143K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	5,366	$140K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	9,501	$135K
99308	Subsequent nursing facility care, per day, straightforward	<1%	10,650	$134K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	1,345	$126K
90834	Psychotherapy session, about 45 minutes	<1%	3,588	$122K
90474		<1%	6,180	$118K
99222	Initial hospital care, per day, moderate complexity	<1%	1,609	$103K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	16,320	$103K
95782		<1%	224	$100K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	790	$99K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	1,981	$93K
20610		<1%	4,020	$92K
99443		<1%	2,025	$87K
83036	Hemoglobin; glycosylated (A1C)	<1%	10,061	$84K
93000		<1%	11,849	$82K
88342		<1%	2,508	$72K
59025	Fetal non-stress test	<1%	3,550	$70K
80061	Lipid panel	<1%	5,591	$68K
D0145	Oral evaluation for a patient under three years of age	<1%	2,031	$68K
81025		<1%	11,726	$67K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	11,318	$67K
90837	Psychotherapy session, about an hour	<1%	1,189	$62K
99292		<1%	2,001	$61K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	2,871	$58K
76819	Fetal biophysical profile; without non-stress testing	<1%	760	$48K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	1,722	$48K
99442		<1%	2,296	$45K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	<1%	390	$42K
99205	Prolong outpt/office vis	<1%	428	$42K
96127		<1%	17,015	$40K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	<1%	713	$38K
76801		<1%	445	$37K
J3304	Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	<1%	84	$34K
90686		<1%	8,463	$33K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	482	$32K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	2,173	$32K
36415	Collection of venous blood by venipuncture	<1%	28,114	$31K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	492	$30K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	746	$30K
95720		<1%	337	$30K
D1206	Topical application of fluoride varnish	<1%	2,001	$30K
99462		<1%	817	$28K
93295		<1%	1,409	$26K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	<1%	716	$26K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,952	$25K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	200	$25K
88341		<1%	729	$24K
99220		<1%	421	$24K
11721		<1%	3,704	$24K
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	447	$24K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	910	$22K
76830	Ultrasound, transvaginal	<1%	322	$21K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	<1%	297	$20K
Q5106	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	<1%	343	$20K
11056		<1%	2,789	$19K
93015		<1%	568	$19K
99254		<1%	144	$18K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	<1%	1,025	$17K
80048	Basic metabolic panel (calcium, ionized)	<1%	2,306	$17K
94660		<1%	1,450	$17K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,503	$15K
99441		<1%	1,248	$15K
99464		<1%	240	$14K
92551		<1%	12,774	$14K
83880		<1%	377	$14K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	<1%	527	$14K
99307		<1%	1,600	$13K
51798		<1%	2,469	$13K
99406		<1%	1,583	$13K
90832	Psychotherapy session, about 30 minutes	<1%	495	$13K
73630		<1%	1,043	$13K
96375	Therapeutic injection; each additional sequential IV push	<1%	569	$13K
90651		<1%	1,515	$12K
J2785	Injection, regadenoson, 0.1 mg	<1%	272	$11K
20553		<1%	565	$11K
97140	Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage)	<1%	719	$11K
97161		<1%	263	$11K
84443	Thyroid stimulating hormone (TSH)	<1%	726	$11K
94729		<1%	1,004	$11K
81003		<1%	9,724	$10K
99251		<1%	412	$10K
81002		<1%	6,476	$10K
99253		<1%	127	$10K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	<1%	121	$10K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	223	$10K
29581		<1%	1,048	$10K
88304		<1%	1,074	$9K
95811		<1%	31	$9K
95251		<1%	418	$9K
43264		<1%	95	$9K
73610		<1%	739	$9K
95722		<1%	60	$9K
73560		<1%	761	$8K
99173		<1%	15,234	$8K
94727		<1%	964	$8K
01967	Neuraxial labor analgesia/anesthesia for planned vaginal delivery	<1%	45	$8K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	630	$7K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	<1%	72	$7K
99381		<1%	82	$7K
J2469	Injection, palonosetron hcl, 25 mcg	<1%	111	$7K
87428		<1%	190	$7K
99152		<1%	802	$7K
95816		<1%	192	$7K
96161		<1%	1,941	$7K
54161		<1%	17	$7K
88141		<1%	372	$6K
Q0138	Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	<1%	49	$6K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	2,660	$6K
90715		<1%	746	$6K
95812		<1%	64	$6K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	75	$6K
88112		<1%	193	$6K
99497		<1%	1,422	$6K
85018		<1%	3,738	$6K
90734		<1%	872	$6K
99310	Prolong nursin fac eval 15m	<1%	252	$6K
87807		<1%	413	$5K
94618		<1%	482	$5K
43235		<1%	134	$5K
99221		<1%	195	$5K
90792	Psychiatric diagnostic evaluation with medical services	<1%	460	$5K
99243		<1%	102	$5K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	108	$5K
99383		<1%	40	$5K
11042	Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm	<1%	427	$5K
98968		<1%	206	$4K
82962		<1%	2,605	$4K
87210		<1%	1,216	$4K
93289		<1%	308	$4K
82248		<1%	841	$4K
90697		<1%	2,436	$4K
94060		<1%	276	$4K
54150		<1%	12	$4K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	196	$4K
11720		<1%	1,128	$4K
90473		<1%	192	$4K
82728		<1%	304	$4K
85610		<1%	1,839	$4K
87653		<1%	126	$4K
80050	General health panel	<1%	393	$3K
72170		<1%	339	$3K
72100		<1%	239	$3K
73030		<1%	490	$3K
85027		<1%	528	$3K
80305		<1%	286	$3K
84439		<1%	347	$3K
76813		<1%	41	$3K
87430		<1%	234	$3K
99217		<1%	107	$3K
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%	1,975	$3K
72110		<1%	139	$3K
99252		<1%	82	$3K
87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	<1%	46	$3K
73070		<1%	247	$3K
95819		<1%	168	$3K
00812		<1%	58	$3K
93294		<1%	328	$3K
Q9957	Injection, perflutren lipid microspheres, per ml	<1%	120	$2K
82951		<1%	182	$2K
88173		<1%	56	$2K
73100		<1%	208	$2K
93298		<1%	283	$2K
73552		<1%	216	$2K
84480		<1%	149	$2K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	130	$2K
83550		<1%	254	$2K
99219		<1%	29	$2K
93042		<1%	816	$2K
81000		<1%	1,010	$2K
97035		<1%	427	$2K
73564		<1%	143	$2K
93296		<1%	231	$2K
83721		<1%	174	$2K
93016		<1%	190	$2K
92015	Determination of refractive state	<1%	189	$2K
99384		<1%	13	$2K
76857		<1%	24	$2K
73562		<1%	117	$2K
99490	Ccm add 20min	<1%	195	$2K
99306	Prolong nursin fac eval 15m	<1%	132	$2K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	40	$1K
92567		<1%	132	$1K
95806		<1%	32	$1K
90633		<1%	4,760	$1K
92579		<1%	69	$1K
45380	Colonoscopy, flexible; with biopsy, single or multiple	<1%	18	$1K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	42	$1K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	36	$1K
20552		<1%	79	$1K
99234		<1%	14	$1K
90785		<1%	312	$1K
95886		<1%	38	$1K
95718		<1%	15	$1K
93793		<1%	1,229	$1K
83735		<1%	169	$1K
80076		<1%	186	$1K
90791	Psychiatric diagnostic evaluation	<1%	28	$1K
71046	Radiologic examination, chest; 2 views	<1%	107	$1K
52000		<1%	19	$961.40
J1756	Injection, iron sucrose, 1 mg	<1%	33	$920.87
81001		<1%	335	$896.12
77067	Screening mammography, bilateral, including computer-aided detection	<1%	14	$883.90
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	97	$880.66
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	19	$877.07
43248		<1%	18	$874.98
94726		<1%	107	$832.10
92552		<1%	599	$830.00
90619		<1%	352	$797.51
93018		<1%	143	$794.72
99226		<1%	26	$784.61
90680		<1%	3,267	$781.69
Q3014	Telehealth originating site facility fee	<1%	55	$745.08
95115		<1%	121	$733.30
94664		<1%	170	$720.52
36556		<1%	37	$708.49
64400		<1%	18	$706.78
83615		<1%	107	$703.28
95800		<1%	26	$682.02
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	45	$660.18
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	<1%	1,128	$651.76
11057		<1%	57	$640.31
73590		<1%	65	$619.02
99218		<1%	12	$508.01
99463		<1%	15	$495.99
90649		<1%	58	$492.60
82607		<1%	30	$484.03
84450		<1%	77	$483.06
93922		<1%	14	$463.73
A4590	Special casting material (e.g., fiberglass)	<1%	23	$461.40
99225		<1%	27	$414.43
88311		<1%	69	$410.61
85014		<1%	194	$389.79
84479		<1%	61	$381.14
84436		<1%	61	$374.30
74328		<1%	36	$371.74
96361	Intravenous infusion, hydration; each additional hour	<1%	36	$358.66
84075		<1%	56	$353.66
64450		<1%	13	$345.44
82247		<1%	55	$343.78
82040		<1%	55	$338.98
96381		<1%	50	$332.18
72040		<1%	14	$311.41
73110		<1%	19	$304.91
51705		<1%	16	$295.96
93228		<1%	30	$288.84
90682		<1%	19	$282.90
90480		<1%	51	$282.77
J1010	Injection, methylprednisolone acetate, 1 mg	<1%	93	$269.63
82274		<1%	14	$257.37
99423		<1%	16	$254.79
84155		<1%	55	$250.88
92083		<1%	24	$250.77
77063	Screening digital breast tomosynthesis, bilateral	<1%	14	$247.99
90688		<1%	1,637	$244.88
94010		<1%	30	$234.90
97530	Therapeutic activities, direct patient contact, each 15 minutes	<1%	24	$224.20
74018		<1%	25	$216.18
90670		<1%	10,320	$216.00
11055		<1%	14	$204.24
90698		<1%	1,489	$202.06
90662		<1%	1,059	$191.89
93288		<1%	13	$170.10
36416		<1%	705	$169.92
76937		<1%	18	$168.34
99305		<1%	16	$164.02
93308		<1%	15	$156.37
J1020	Injection, methylprednisolone acetate, 20 mg	<1%	113	$150.34
J7050	Infusion, normal saline solution, 250 cc	<1%	1,367	$134.25
93270		<1%	14	$131.92
92060		<1%	13	$130.01
90656		<1%	646	$123.61
92134		<1%	12	$119.30
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	312	$111.48
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	16	$109.88
96160		<1%	26	$99.90
88302		<1%	21	$94.97
83540		<1%	13	$81.86
99000		<1%	1,467	$63.00
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	<1%	13	$57.40
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	20	$53.80
99153	Mod sedat endo service >5yrs	<1%	29	$53.10
82947		<1%	13	$49.65
93321		<1%	15	$46.61
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	<1%	13	$46.59
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	141	$40.07
3077F		<1%	531	$25.00
3080F		<1%	73	$25.00
90672		<1%	316	$23.64
93325		<1%	15	$22.04
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	96	$21.33
94760		<1%	394	$20.80
J7030	Infusion, normal saline solution , 1000 cc	<1%	33	$19.60
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	29	$11.88
J3490	Unclassified drugs	<1%	1,740	$10.28
S0020	Injection, bupivicaine hydrochloride, 30 ml	<1%	260	$2.80
J0665	Injection, bupivicaine, not otherwise specified, 0.5 mg	<1%	23	$0.04
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	<1%	14	$0.04
1160F		0%	16,168	$0.00
3078F		0%	5,450	$0.00
90681		0%	2,636	$0.00
90685		0%	836	$0.00
90648		0%	742	$0.00
90710		0%	2,462	$0.00
90621		0%	40	$0.00
90700		0%	242	$0.00
3051F		0%	17	$0.00
G1010	Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program	0%	337	$0.00
90707		0%	280	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	14	$0.00
90687		0%	20	$0.00
82948		0%	14	$0.00
3046F		0%	16	$0.00
90655		0%	15	$0.00
90647		0%	4,026	$0.00
90716		0%	319	$0.00
3074F		0%	6,111	$0.00
4010F		0%	883	$0.00
90744		0%	398	$0.00
G0008	Administration of influenza virus vaccine	0%	712	$0.00
3079F		0%	1,555	$0.00
90677		0%	1,726	$0.00
90694		0%	193	$0.00
90723		0%	4,467	$0.00
0503F		0%	67	$0.00
90696		0%	606	$0.00
3044F		0%	605	$0.00
3075F		0%	271	$0.00
99172		0%	94	$0.00
3052F		0%	12	$0.00
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	0%	87	$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 officialBARTHOLOMEW, ANTHONY (VP OPERATIONS OF ECU HEALTH PHYSICI)