Physician
Sessoms Medical Assoicates,llc
Sessoms Medical Assoicates,llc was paid $828K by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoSESSOMS MEDICAL ASSOICATES,LLC
CLINTON, NC 28328
CLINTON, NC 28328
33aNPI1508123571assigned 04/16/2012
33bProvider typeInternal Medicine Physician
28Total paid$828K
24GClaims78,119
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#91 of 616
Median peer was paid$74K
This provider vs. median11×
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 | 4,403 | $84K | |
| 2019 | 3,640 | $110K | |
| 2020 | 2,355 | $97K | |
| 2021 | 9,526 | $123K | |
| 2022 | 22,118 | $168K | |
| 2023 | 21,926 | $151K | |
| 2024incomplete | 14,151 | $95K |
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 | 37% | 9,026 | 5,403 | $305K |
| 99199 | Unlisted special service, procedure or report | 19% | 26,326 | 14,985 | $156K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 5,028 | 3,198 | $140K |
| 99310 | Prolong nursin fac eval 15m | 9.9% | 2,708 | 1,992 | $82K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 9.6% | 5,022 | 3,377 | $80K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 4.1% | 1,397 | 796 | $34K |
| 99490 | Ccm add 20min | <1% | 748 | 598 | $7K |
| 93922 | <1% | 249 | 88 | $5K | |
| 95923 | <1% | 150 | 85 | $4K | |
| 99406 | <1% | 592 | 439 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 21 | 16 | $2K |
| 95921 | <1% | 119 | 69 | $2K |
45 more codes
| 82962 | <1% | 2,488 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 33 | $1K |
| 93923 | <1% | 23 | $997.67 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 110 | $907.43 |
| 97760 | <1% | 106 | $701.67 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 30 | $573.10 |
| 99496 | <1% | 35 | $543.66 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 19 | $497.58 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 16 | $316.48 |
| 99491 | Ccm add 20min | <1% | 21 | $227.53 |
| 3044F | <1% | 1,448 | $180.24 | |
| 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% | 35 | $77.65 |
| 3023F | <1% | 599 | $60.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 143 | $27.76 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 257 | $20.65 |
| 3046F | <1% | 26 | $20.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 978 | $0.30 |
| 1160F | <1% | 4,427 | $0.14 | |
| 3080F | <1% | 545 | $0.07 | |
| 3077F | <1% | 730 | $0.06 | |
| 3078F | <1% | 864 | $0.04 | |
| 3074F | <1% | 1,041 | $0.04 | |
| 3075F | <1% | 350 | $0.02 | |
| 3079F | <1% | 570 | $0.01 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 2,022 | $0.00 |
| 4274F | 0% | 210 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 1,164 | $0.00 |
| 4004F | 0% | 329 | $0.00 | |
| 1159F | 0% | 281 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 229 | $0.00 |
| 3028F | 0% | 588 | $0.00 | |
| 4040F | 0% | 104 | $0.00 | |
| 3051F | 0% | 14 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 17 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,570 | $0.00 |
| 1036F | 0% | 917 | $0.00 | |
| 3008F | 0% | 1,687 | $0.00 | |
| 1220F | 0% | 74 | $0.00 | |
| 3017F | 0% | 282 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 104 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 131 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 766 | $0.00 |
| 3014F | 0% | 233 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 88 | $0.00 |
| 1101F | 0% | 29 | $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 officialSESSOMS, RODNEY (OWNER)