Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Pope, Penny

Pope, Penny was paid $85K by Medicaid between Feb 2018 and Aug 2018, across 6 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 46% of everything it billed.

33Billing provider infoPOPE, PENNY
MOUNT AIRY, NC 27030
33aNPI1497187629assigned 07/30/2013
28Total paid$85K
24GClaims2,359
24DCodes billed6
24AFirst – last monthFeb 2018 – Aug 2018
Compared with peers

Next to other Family Nurse Practitioner providers in North Carolina

Rank by total paid#47 of 147
Median peer was paid$12K
This provider vs. median7.4×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,359$85K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 46% 877 519 $39K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 28% 360 251 $23K
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 24% 521 316 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.3% 199 111 $2K
94760 <1% 383 245 $9.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 19 12 $1.20

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.