NP / PA
Randleman Medical Center
Randleman Medical Center was paid $1.03M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 30% of everything it billed.
33Billing provider infoRANDLEMAN MEDICAL CENTER
RANDLEMAN, NC 27317
RANDLEMAN, NC 27317
33aNPI1477810265assigned 04/18/2012
33bProvider typePrimary Care Nurse Practitioner
28Total paid$1.03M
24GClaims90,229
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Nurse Practitioner providers in North Carolina
Rank by total paid#3 of 21
Median peer was paid$17K
This provider vs. median59×
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 | 1,552 | $65K | |
| 2019 | 1,511 | $66K | |
| 2020 | 1,480 | $63K | |
| 2021 | 9,277 | $143K | |
| 2022 | 20,695 | $193K | |
| 2023 | 32,500 | $283K | |
| 2024incomplete | 23,214 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 30% | 50,544 | 30,153 | $308K |
| 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 | 29% | 5,818 | 4,370 | $296K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 6,454 | 4,523 | $248K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 7.6% | 896 | 596 | $79K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.9% | 1,259 | 571 | $30K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 523 | 276 | $16K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.5% | 1,265 | 701 | $16K |
| 93000 | <1% | 909 | 629 | $8K | |
| 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% | 80 | 64 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 864 | 474 | $7K |
| 82962 | <1% | 1,753 | 1,160 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 42 | 40 | $3K |
30 more codes
| 81003 | <1% | 1,904 | $2K | |
| 99442 | <1% | 157 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 42 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 38 | $2K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 146 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $966.70 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 92 | $896.11 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 61 | $438.01 |
| 99173 | <1% | 358 | $373.61 | |
| 82043 | <1% | 97 | $224.58 | |
| 80305 | <1% | 40 | $195.34 | |
| 96127 | <1% | 63 | $184.09 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 44 | $114.71 |
| 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% | 14 | $16.76 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 47 | $6.16 |
| 3074F | <1% | 3,743 | $0.01 | |
| 3078F | <1% | 3,723 | $0.01 | |
| 3079F | 0% | 1,159 | $0.00 | |
| 3008F | 0% | 343 | $0.00 | |
| 1034F | 0% | 1,932 | $0.00 | |
| 3075F | 0% | 849 | $0.00 | |
| 1036F | 0% | 3,525 | $0.00 | |
| 3080F | 0% | 297 | $0.00 | |
| 4037F | 0% | 135 | $0.00 | |
| 4010F | 0% | 169 | $0.00 | |
| 3044F | 0% | 29 | $0.00 | |
| 3066F | 0% | 79 | $0.00 | |
| 90658 | 0% | 13 | $0.00 | |
| 3077F | 0% | 642 | $0.00 | |
| 91300 | 0% | 68 | $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 officialHODGE, REGINA (OWNER)