Famhealth Primary Care , PA

Famhealth Primary Care , PA was paid $36K by Medicaid between Dec 2020 and Feb 2024, across 5 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 63% of everything it billed.

33Billing provider infoFAMHEALTH PRIMARY CARE , PA
RALEIGH, NC 27612

33aNPI1568916617assigned 08/06/2016

33bProvider typePrimary Care Clinic/Center

28Total paid$36K

24GClaims7,507

24DCodes billed5

24AFirst – last monthDec 2020 – Feb 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in North Carolina

Rank by total paid#84 of 116

Median peer was paid$226K

This provider vs. median0.2×

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
2020	18	$27.56
2021	1,064	$10K
2022	2,967	$16K
2023	3,058	$10K
2024incomplete	400	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	63%	7,049	6,582	$23K
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	27%	277	185	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.2%	89	67	$3K
36415	Collection of venous blood by venipuncture	<1%	74	57	$89.24
99490	Ccm add 20min	<1%	18	13	$27.56

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 officialTALLMER, ENID (PRESIDENT)