Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Thomasville Ob-Gyn Associates, PA

Thomasville Ob-Gyn Associates, PA was paid $73K by Medicaid between Jan 2018 and Nov 2018, across 16 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 26% of everything it billed.

33Billing provider infoTHOMASVILLE OB-GYN ASSOCIATES, PA
THOMASVILLE, NC 27360
33aNPI1629048871assigned 01/23/2006
28Total paid$73K
24GClaims2,085
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in North Carolina

Rank by total paid#85 of 189
Median peer was paid$47K
This provider vs. median1.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,085$73K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26% 650 570 $19K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 20% 141 134 $15K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 17% 288 261 $12K
76801 11% 93 82 $8K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 7.1% 76 65 $5K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 5.4% 53 51 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.8% 74 64 $3K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 2.3% 15 14 $2K
59025 Fetal non-stress test 2.2% 59 51 $2K
86580 1.5% 231 207 $1K
81025 <1% 103 85 $644.62
90686 <1% 74 44 $612.35
4 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 66 $440.90
81000 <1% 102 $328.44
87210 <1% 36 $121.56
81002 <1% 24 $66.15

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 officialDORTON, PHILLIP (PRESIDENT)