Clinic
Mid Carolina Family Medicine, P.A.
Mid Carolina Family Medicine, P.A. was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoMID CAROLINA FAMILY MEDICINE, P.A.
TROY, NC 27371
TROY, NC 27371
33aNPI1497755953assigned 07/27/2005
33bProvider typeRural Health Clinic/Center
28Total paid$1.19M
24GClaims73,256
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in North Carolina
Rank by total paid#12 of 65
Median peer was paid$156K
This provider vs. median7.6×
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 | 5,225 | $118K | |
| 2019 | 5,284 | $119K | |
| 2020 | 3,856 | $117K | |
| 2021 | 10,145 | $227K | |
| 2022 | 16,128 | $221K | |
| 2023 | 15,226 | $187K | |
| 2024incomplete | 17,392 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 75% | 12,846 | 10,285 | $891K |
| 99199 | Unlisted special service, procedure or report | 18% | 41,920 | 27,110 | $219K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 6,122 | 5,240 | $25K |
| 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 | 1.5% | 1,742 | 1,377 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 785 | 698 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 539 | 485 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 78 | 60 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 302 | 139 | $4K |
| 3008F | <1% | 7,416 | 6,169 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | 12 | $1K |
| 90686 | <1% | 328 | 301 | $857.68 | |
| 92552 | <1% | 430 | 363 | $616.36 |
6 more codes
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 officialVANG, TOUBER (PRESIDENT)