Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RANDOLPH SPECIALTY GROUP PRACTICE

NPI: 1619126992 · ASHEBORO, NC 27203 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI assigned 09/11/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CLAUSER, ROBERT controls 11+ related entities in our dataset. Read more

$157K
Total Medicaid Paid
3,330
Total Claims
2,964
Beneficiaries
10
Codes Billed
2018-01
First Month
2021-09
Last Month

Provider Details

Authorized OfficialCLAUSER, ROBERT (EXECUTIVE DIRECTOR)
NPI Enumeration Date09/11/2008

Related Entities

Other providers sharing the same authorized official: CLAUSER, ROBERT

ProviderCityStateTotal Paid
RANDOLPH SPECIALTY GROUP PRACTICE ASHEBORO NC $5.33M
RANDOLPH SPECIALTY GROUP PRACTICE ASHEBORO NC $2.10M
AMERICAN HEALTHCARE SYSTEMS, LLC ASHEBORO NC $540K
RANDOLPH SPECIALTY GROUP PRACTICE ASHEBORO NC $318K
RANDOLPH SPECIALTY GROUP PRACTICE LIBERTY NC $284K
RANDOLPH SPECIALTY GROUP PRACTICE ASHEBORO NC $199K
RANDOLPH SPECIALTY GROUP PRACTICE ASHEBORO NC $112K
RANDOLPH SPECIALTY GROUP PRACTICE ASHEBORO NC $52K
RANDOLPH SPECIALTY GROUP PRACTICE SEAGROVE NC $49K
AMERICAN HEALTHCARE SYSTEMS LLC ASHEBORO NC $41K
RANDOLPH SPECIALTY GROUP PRACTICE ASHEBORO NC $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 966 $47K
2019 1,057 $52K
2020 694 $33K
2021 613 $25K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 858 766 $53K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,158 977 $47K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 374 342 $23K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 582 558 $17K
99243 63 62 $6K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 25 25 $4K
31231 26 25 $2K
92567 214 182 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 15 $2K
69210 14 12 $339.64