Physician
North State Medical Center PA
North State Medical Center PA was paid $4.22M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoNORTH STATE MEDICAL CENTER PA
ROXBORO, NC 27573
ROXBORO, NC 27573
33aNPI1538127121assigned 05/03/2006
33bProvider typeInternal Medicine Physician
28Total paid$4.22M
24GClaims236,676
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#12 of 616
Median peer was paid$74K
This provider vs. median57×
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 | 15,950 | $386K | |
| 2019 | 16,242 | $523K | |
| 2020 | 17,569 | $447K | |
| 2021 | 35,333 | $697K | |
| 2022 | 54,516 | $859K | |
| 2023 | 48,973 | $709K | |
| 2024incomplete | 48,093 | $598K |
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 | 48% | 35,013 | 23,396 | $2.02M |
| 99199 | Unlisted special service, procedure or report | 15% | 128,018 | 80,820 | $635K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 11,266 | 7,619 | $529K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 2,330 | 1,756 | $193K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 2,474 | 1,680 | $178K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 2,133 | 1,401 | $160K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 1,684 | 1,255 | $129K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 3,015 | 1,842 | $70K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 778 | 496 | $56K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 4,559 | 2,912 | $51K |
| 95117 | <1% | 4,493 | 1,315 | $37K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,287 | 4,513 | $36K |
54 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,625 | $17K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 64 | $15K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 85 | $13K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,520 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 342 | $11K |
| 99442 | <1% | 417 | $8K | |
| 96156 | <1% | 212 | $8K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 91 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 509 | $5K |
| 90670 | <1% | 1,407 | $4K | |
| 95923 | <1% | 127 | $3K | |
| 92551 | <1% | 3,094 | $2K | |
| 90474 | <1% | 185 | $2K | |
| 96127 | <1% | 845 | $2K | |
| 90621 | <1% | 217 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 15 | $1K |
| 93923 | <1% | 40 | $1K | |
| 99173 | <1% | 3,988 | $1K | |
| 93922 | <1% | 182 | $1K | |
| 90723 | <1% | 1,055 | $911.96 | |
| 95921 | <1% | 20 | $519.66 | |
| 99401 | <1% | 17 | $453.60 | |
| 99490 | Ccm add 20min | <1% | 196 | $167.84 |
| 96160 | <1% | 421 | $162.91 | |
| 90715 | <1% | 205 | $148.86 | |
| 95943 | <1% | 107 | $72.48 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,104 | $68.78 |
| 90686 | <1% | 2,636 | $54.63 | |
| 87210 | <1% | 62 | $23.50 | |
| 3044F | <1% | 346 | $20.19 | |
| 3075F | <1% | 79 | $0.02 | |
| 3078F | <1% | 193 | $0.02 | |
| 3079F | <1% | 194 | $0.01 | |
| 3074F | <1% | 148 | $0.01 | |
| 3077F | <1% | 127 | $0.01 | |
| 96150 | 0% | 2,505 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 156 | $0.00 |
| 90645 | 0% | 416 | $0.00 | |
| 90733 | 0% | 457 | $0.00 | |
| 90647 | 0% | 53 | $0.00 | |
| 90680 | 0% | 185 | $0.00 | |
| 90696 | 0% | 96 | $0.00 | |
| 3080F | 0% | 17 | $0.00 | |
| 90633 | 0% | 619 | $0.00 | |
| 90710 | 0% | 119 | $0.00 | |
| 90649 | 0% | 1,081 | $0.00 | |
| 99072 | 0% | 3,176 | $0.00 | |
| 99497 | 0% | 12 | $0.00 | |
| 90648 | 0% | 401 | $0.00 | |
| 90682 | 0% | 127 | $0.00 | |
| 90687 | 0% | 38 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 183 | $0.00 |
| 90461 | 0% | 96 | $0.00 | |
| 90662 | 0% | 14 | $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 officialGODWIN, PATRICK (PRESIDENT)