Physician
Statesville Hma Medical Group, LLC
Statesville Hma Medical Group, LLC was paid $2.68M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoSTATESVILLE HMA MEDICAL GROUP, LLC
STATESVILLE, NC 28625
STATESVILLE, NC 28625
33aNPI1639407737assigned 12/01/2009
33bProvider typeFamily Medicine Physician
28Total paid$2.68M
24GClaims169,296
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#41 of 960
Median peer was paid$135K
This provider vs. median20×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official JACKSON, JENNIFER controls 20+ related entities in our dataset. Read more
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 | 19,934 | $458K | |
| 2019 | 18,945 | $741K | |
| 2020 | 14,914 | $572K | |
| 2021 | 46,204 | $527K | |
| 2022 | 51,456 | $325K | |
| 2023 | 9,071 | $26K | |
| 2024incomplete | 8,772 | $26K |
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 | 34% | 17,494 | 12,441 | $906K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 14,888 | 9,435 | $532K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 2,624 | 2,271 | $222K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.1% | 1,888 | 1,662 | $163K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.5% | 3,012 | 2,672 | $148K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.1% | 3,219 | 1,052 | $108K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.5% | 1,349 | 1,236 | $93K |
| 99199 | Unlisted special service, procedure or report | 3.3% | 26,964 | 26,500 | $87K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.9% | 701 | 367 | $52K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 838 | 703 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,600 | 1,120 | $36K |
| 99460 | 1.1% | 546 | 461 | $29K |
80 more codes
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 491 | $26K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 314 | $24K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,107 | $22K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 411 | $20K |
| 93351 | <1% | 262 | $18K | |
| 99221 | <1% | 313 | $15K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 13 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 402 | $12K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 766 | $12K |
| 59426 | <1% | 21 | $10K | |
| 96160 | <1% | 2,443 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 146 | $8K |
| 93000 | <1% | 1,154 | $8K | |
| 83655 | <1% | 537 | $7K | |
| 59025 | Fetal non-stress test | <1% | 337 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $5K |
| 81025 | <1% | 883 | $4K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 112 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 69 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 43 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 200 | $3K |
| 96161 | <1% | 694 | $2K | |
| 99462 | <1% | 129 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 958 | $2K |
| 90474 | <1% | 110 | $2K | |
| 81001 | <1% | 1,584 | $2K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 16 | $2K |
| 20610 | <1% | 62 | $2K | |
| 76801 | <1% | 17 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 90 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 443 | $1K |
| 87807 | <1% | 101 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 16 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 170 | $1K |
| 99443 | <1% | 13 | $906.91 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $883.16 |
| 51798 | <1% | 174 | $540.49 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 15 | $518.25 |
| 80305 | <1% | 272 | $508.15 | |
| 81003 | <1% | 417 | $486.28 | |
| 96127 | <1% | 128 | $482.12 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 30 | $409.77 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 88 | $284.49 |
| D1206 | Topical application of fluoride varnish | <1% | 15 | $228.75 |
| 85018 | <1% | 520 | $134.22 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $101.80 |
| 86703 | <1% | 21 | $74.83 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 55 | $63.02 |
| 80061 | Lipid panel | <1% | 23 | $55.19 |
| 80053 | Comprehensive metabolic panel | <1% | 23 | $44.42 |
| 86592 | <1% | 22 | $21.60 | |
| 1036F | 0% | 9,957 | $0.00 | |
| 90680 | 0% | 1,079 | $0.00 | |
| 90698 | 0% | 1,571 | $0.00 | |
| 1125F | 0% | 1,779 | $0.00 | |
| 3074F | 0% | 8,890 | $0.00 | |
| 3008F | 0% | 11,929 | $0.00 | |
| 1126F | 0% | 650 | $0.00 | |
| 3079F | 0% | 2,262 | $0.00 | |
| 90744 | 0% | 740 | $0.00 | |
| 1034F | 0% | 1,280 | $0.00 | |
| 0501F | 0% | 43 | $0.00 | |
| 3075F | 0% | 229 | $0.00 | |
| 90716 | 0% | 59 | $0.00 | |
| 3080F | 0% | 205 | $0.00 | |
| 90686 | 0% | 291 | $0.00 | |
| 92551 | 0% | 13 | $0.00 | |
| 99024 | 0% | 13 | $0.00 | |
| 90688 | 0% | 13 | $0.00 | |
| 90685 | 0% | 95 | $0.00 | |
| 90633 | 0% | 485 | $0.00 | |
| 3078F | 0% | 6,846 | $0.00 | |
| 1159F | 0% | 10,246 | $0.00 | |
| 90670 | 0% | 1,611 | $0.00 | |
| 0502F | 0% | 2,769 | $0.00 | |
| 1160F | 0% | 12,138 | $0.00 | |
| 99173 | 0% | 92 | $0.00 | |
| 3077F | 0% | 352 | $0.00 | |
| 3725F | 0% | 185 | $0.00 | |
| 90707 | 0% | 45 | $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 officialJACKSON, JENNIFER (SR DIR PROV ENROLLMENT & ONBOARDING)
Parent organizationSTATESVILLE HMA MEDICAL GROUP LLC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.