Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Smithfield › NPI 1649786567
Physician

Johnston Specialty Physician Services,inc

Johnston Specialty Physician Services,inc was paid $228K by Medicaid between Mar 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.

33Billing provider infoJOHNSTON SPECIALTY PHYSICIAN SERVICES,INC
SMITHFIELD, NC 27577
33aNPI1649786567assigned 12/15/2017
28Total paid$228K
24GClaims10,595
24DCodes billed5
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in North Carolina

Rank by total paid#10 of 46
Median peer was paid$36K
This provider vs. median6.4×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20182,281$21K
20191,380$35K
20201,117$28K
20211,137$24K
20221,584$38K
20231,652$43K
2024incomplete1,444$40K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35% 4,061 3,003 $80K
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 28% 2,393 1,783 $64K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 15% 3,397 2,271 $34K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 14% 530 435 $33K
99244 Office or other outpatient consultation, moderate to high complexity 7.5% 214 181 $17K

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 officialDEANS, ANGELA (PFS DIRECTOR)