Randolph Specialty Group Practice
Randolph Specialty Group Practice was paid $284K by Medicaid between Jan 2018 and Oct 2021, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
LIBERTY, NC 27298
Next to other Family 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 | |
|---|---|---|---|
| 2018 | 1,707 | $69K | |
| 2019 | 1,683 | $83K | |
| 2020 | 1,148 | $55K | |
| 2021 | 5,594 | $78K |
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 | 49% | 2,944 | 2,544 | $138K |
| 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 | 39% | 1,930 | 1,710 | $110K |
| 99199 | Unlisted special service, procedure or report | 9.8% | 4,581 | 4,443 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.5% | 265 | 246 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 57 | 53 | $1K |
| 99442 | <1% | 51 | 27 | $1K | |
| 90686 | <1% | 155 | 145 | $934.61 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | 12 | $534.65 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $169.56 |
| 96127 | <1% | 13 | 13 | $51.00 | |
| 98960 | 0% | 107 | 100 | $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 |
|---|---|---|
| Randolph Specialty Group Practice | Asheboro, NC | $5.33M |
| Randolph Specialty Group Practice | Asheboro, NC | $2.10M |
| American Healthcare Systems, LLC | Asheboro, NC | $540K |
| Randolph Specialty Group Practice | Asheboro, NC | $318K |
| Randolph Specialty Group Practice | Asheboro, NC | $199K |
| Randolph Specialty Group Practice | Asheboro, NC | $157K |
| Randolph Specialty Group Practice | Asheboro, NC | $112K |
| Randolph Specialty Group Practice | Asheboro, NC | $52K |
| Randolph Specialty Group Practice | Seagrove, NC | $49K |
| American Healthcare Systems LLC | Asheboro, NC | $41K |
| Randolph Specialty Group Practice | Asheboro, NC | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.