Physician
Integrated Wound Specialists of North Carolina, PLLC
Integrated Wound Specialists of North Carolina, PLLC was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 11042, Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm — 40% of everything it billed.
33Billing provider infoINTEGRATED WOUND SPECIALISTS OF NORTH CAROLINA, PLLC
PINEHURST, NC 28374
PINEHURST, NC 28374
33aNPI1558666776assigned 01/19/2011
33bProvider typeEmergency Medicine Physician
28Total paid$1.24M
24GClaims122,319
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in North Carolina
Rank by total paid#51 of 196
Median peer was paid$120K
This provider vs. median10×
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 | 27,278 | $193K | |
| 2019 | 15,038 | $195K | |
| 2020 | 24,315 | $199K | |
| 2021 | 17,781 | $198K | |
| 2022 | 13,398 | $173K | |
| 2023 | 12,173 | $132K | |
| 2024incomplete | 12,336 | $148K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 40% | 62,305 | 20,936 | $501K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 30,738 | 13,630 | $336K |
| 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 | 19% | 13,674 | 6,441 | $239K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.0% | 2,071 | 1,263 | $49K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 1,137 | 457 | $27K |
| 11045 | 1.7% | 2,832 | 1,077 | $21K | |
| 97597 | 1.6% | 3,511 | 1,593 | $20K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 2,465 | 433 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,772 | 699 | $8K |
| 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% | 245 | 172 | $8K |
| 11043 | <1% | 175 | 78 | $6K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 101 | 47 | $4K |
8 more codes
| 17250 | <1% | 379 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 123 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 233 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 20 | $371.66 |
| 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% | 332 | $323.19 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 26 | $228.28 |
| 99305 | <1% | 57 | $60.66 | |
| 0598T | 0% | 123 | $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 officialWILLIAM, FRANK (CEO)
| Provider | Location | Paid |
|---|---|---|
| Healogics Specialty Physicians of Indiana, LLC | Terre Haute, IN | $1.37M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.