Physician
Health Zone PLLC
Health Zone PLLC was paid $903K by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoHEALTH ZONE PLLC
SMITHFIELD, NC 27577
SMITHFIELD, NC 27577
33aNPI1629007398assigned 07/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$903K
24GClaims77,250
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#149 of 960
Median peer was paid$135K
This provider vs. median6.7×
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 | 5,760 | $118K | |
| 2019 | 6,532 | $147K | |
| 2020 | 9,774 | $137K | |
| 2021 | 6,432 | $118K | |
| 2022 | 16,880 | $157K | |
| 2023 | 21,439 | $141K | |
| 2024incomplete | 10,433 | $84K |
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 | 50% | 8,178 | 5,972 | $455K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 4,324 | 3,150 | $165K |
| 99199 | Unlisted special service, procedure or report | 11% | 15,907 | 9,741 | $95K |
| 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 | 11% | 936 | 755 | $95K |
| 99401 | 1.9% | 1,922 | 1,278 | $17K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.9% | 235 | 184 | $17K |
| 99406 | 1.6% | 2,543 | 1,731 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 110 | 66 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 558 | 222 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 375 | 216 | $4K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 92 | 74 | $3K |
| 80305 | <1% | 394 | 300 | $3K |
40 more codes
| 81002 | <1% | 1,888 | $3K | |
| 93000 | <1% | 250 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 192 | $2K |
| 96160 | <1% | 934 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 286 | $2K |
| 82962 | <1% | 1,145 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 135 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $1K |
| 99051 | <1% | 54 | $1K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 58 | $985.32 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $909.72 |
| 81025 | <1% | 199 | $816.79 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 132 | $794.30 |
| 99407 | <1% | 56 | $670.32 | |
| 96127 | <1% | 237 | $617.24 | |
| 94010 | <1% | 39 | $562.76 | |
| 90674 | <1% | 169 | $523.41 | |
| 90686 | <1% | 16 | $153.53 | |
| 99497 | <1% | 31 | $95.80 | |
| 83037 | <1% | 110 | $12.02 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 4,249 | $0.00 |
| 3078F | 0% | 4,797 | $0.00 | |
| 3077F | 0% | 857 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 20 | $0.00 |
| 3079F | 0% | 1,870 | $0.00 | |
| 3080F | 0% | 752 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 2,483 | $0.00 |
| 1034F | 0% | 1,640 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,152 | $0.00 |
| 3074F | 0% | 5,396 | $0.00 | |
| 3075F | 0% | 1,057 | $0.00 | |
| 1036F | 0% | 2,674 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 271 | $0.00 |
| 3008F | 0% | 7,635 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 677 | $0.00 |
| 3044F | 0% | 87 | $0.00 | |
| G8422 | Bmi not documented, documentation the patient is not eligible for bmi calculation | 0% | 20 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 24 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 99000 | 0% | 31 | $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 officialREYES, RODOLFO (OWNER/MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Edgewater Medical Center and Urgent | Lillington, NC | $1.86M |
| Universal Medical Associates, PLLC | Raleigh, NC | $1.52M |
| Med Mart Medical Associates PLLC | Holly Springs, NC | $1.29M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.