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

Highland Primary Care, PLLC

Highland Primary Care, PLLC was paid $408K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 68% of everything it billed.

33Billing provider infoHIGHLAND PRIMARY CARE, PLLC
LAURINBURG, NC 28352
33aNPI1508215963assigned 06/07/2016
28Total paid$408K
24GClaims53,702
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in North Carolina

Rank by total paid#22 of 147
Median peer was paid$12K
This provider vs. median35×

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
2018493$14K
2019958$26K
2020851$17K
20212,290$33K
20228,075$70K
202316,506$95K
2024incomplete24,529$153K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 68% 46,699 28,642 $276K
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% 4,521 2,691 $119K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.2% 746 382 $13K
96127 <1% 66 57 $201.79
82962 <1% 49 26 $30.54
82947 <1% 31 26 $12.79
1125F 0% 55 47 $0.00
3008F 0% 363 275 $0.00
3079F 0% 60 53 $0.00
1036F 0% 243 173 $0.00
1126F 0% 203 149 $0.00
3074F 0% 176 137 $0.00
3 more codes
1034F 0% 16 $0.00
3078F 0% 150 $0.00
1160F 0% 324 $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 officialGIBSON, DONNA (NURSE PRACTITIONER/OWNER)
Same official

Other billing entities under GIBSON, DONNA

Full network →
ProviderLocationPaid
Okaloosa Cardiology P aCrestview, FL$267K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.