Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Lumberton › NPI 1518955269
Physician

Roberts, Joseph

Roberts, Joseph was paid $186K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoROBERTS, JOSEPH
LUMBERTON, NC 28358
33aNPI1518955269assigned 10/07/2005
28Total paid$186K
24GClaims7,838
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#435 of 960
Median peer was paid$135K
This provider vs. median1.4×

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$5.0K$10K2018201920202021202220232024
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
20181,129$35K
2019817$30K
20202,563$65K
20212,356$54K
2023228$582.06
2024incomplete745$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65% 3,448 2,950 $121K
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% 939 826 $44K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.4% 389 307 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.5% 65 56 $3K
99307 1.5% 296 278 $3K
80305 1.5% 445 406 $3K
99199 Unlisted special service, procedure or report 1.5% 973 967 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 419 289 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 62 50 $2K
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% 13 12 $1K
36415 Collection of venous blood by venipuncture <1% 638 541 $849.44
90674 <1% 64 52 $395.36
3 more codes
81000 <1% 53 $120.18
84703 <1% 16 $97.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 18 $0.80

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.