Physician
Highland Health of North Carolina PA
Highland Health of North Carolina PA was paid $716K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 34% of everything it billed.
33Billing provider infoHIGHLAND HEALTH OF NORTH CAROLINA PA
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1548262165assigned 08/12/2005
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$716K
24GClaims25,320
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in North Carolina
Rank by total paid#8 of 42
Median peer was paid$18K
This provider vs. median41×
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 | 2,264 | $55K | |
| 2019 | 2,764 | $91K | |
| 2020 | 4,245 | $133K | |
| 2021 | 4,072 | $127K | |
| 2022 | 3,443 | $110K | |
| 2023 | 5,324 | $131K | |
| 2024incomplete | 3,208 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 34% | 12,387 | 1,752 | $245K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 24% | 3,914 | 1,088 | $173K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 14% | 2,871 | 1,049 | $98K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 2,231 | 1,904 | $52K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.6% | 884 | 534 | $40K |
| 97113 | 3.6% | 361 | 95 | $26K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 332 | 250 | $19K |
| 99254 | 2.1% | 114 | 113 | $15K | |
| 99223 | Prolong inpt eval add15 m | 1.8% | 120 | 78 | $13K |
| 97164 | 1.2% | 712 | 600 | $8K | |
| 97014 | 1.0% | 716 | 252 | $7K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 154 | 114 | $6K |
6 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 101 | $4K |
| 97162 | <1% | 132 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 39 | $3K |
| 97161 | <1% | 53 | $1K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 120 | $1K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 79 | $572.18 |
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 officialWALSH, ZANE (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Physicians Total Rehab of Fayetteville INC. | Fayetteville, NC | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.