Medicaid Provider Spending

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

PELICAN FAMILY MEDICINE, P.A.

NPI: 1669480042 · WILMINGTON, NC 28403 · Family Medicine Physician · NPI assigned 08/03/2006

$1.15M
Total Medicaid Paid
45,221
Total Claims
39,507
Beneficiaries
63
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialARMITAGE, MARK (OWNER/PHYSICIAN)
NPI Enumeration Date08/03/2006

Related Entities

Other providers sharing the same authorized official: ARMITAGE, MARK

ProviderCityStateTotal Paid
PELICAN FAMILY MEDICINE AT MONKEY JUNCTION WILMINGTON NC $428K
PELICAN FAMILY MEDICINE, P.A. HAMPSTEAD NC $39K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,049 $184K
2019 5,017 $156K
2020 2,803 $107K
2021 6,737 $196K
2022 7,508 $165K
2023 6,745 $131K
2024 10,362 $214K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,039 7,393 $445K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 5,781 4,908 $305K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 893 694 $78K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,662 1,323 $71K
99199 Unlisted special service, procedure or report 14,423 14,067 $53K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 910 98 $39K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 137 97 $26K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 159 138 $18K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 615 553 $12K
99490 Ccm add 20min 1,107 1,094 $10K
84443 Thyroid stimulating hormone (TSH) 824 755 $9K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 43 41 $7K
80053 Comprehensive metabolic panel 1,200 1,077 $7K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 49 41 $6K
95923 93 79 $6K
84481 442 370 $6K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,130 1,020 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 136 105 $4K
80306 367 316 $4K
93922 64 37 $4K
95921 88 77 $4K
80061 Lipid panel 405 354 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 76 65 $3K
84439 444 373 $3K
93923 30 28 $3K
99215 Prolong outpt/office vis 57 44 $3K
95886 37 37 $2K
83036 Hemoglobin; glycosylated (A1C) 496 441 $2K
82947 1,250 1,077 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 149 119 $2K
95912 13 13 $1K
99423 36 24 $1K
87581 62 58 $1K
87486 62 58 $1K
84479 288 269 $938.45
81003 732 620 $787.65
36415 Collection of venous blood by venipuncture 474 399 $673.90
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $288.94
87640 12 12 $272.16
87653 12 12 $272.16
96127 77 61 $175.92
97760 20 19 $141.04
93000 12 12 $138.82
85018 101 88 $127.88
93040 26 25 $117.92
86580 50 34 $110.97
84403 12 12 $95.55
J0696 Injection, ceftriaxone sodium, per 250 mg 18 14 $57.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 60 46 $46.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 20 16 $43.18
G0444 Annual depression screening, 5 to 15 minutes 728 626 $35.56
87500 12 12 $30.24
J1100 Injection, dexamethasone sodium phosphate, 1 mg 78 61 $5.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 34 34 $0.00
1101F 12 12 $0.00
3044F 38 38 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 12 12 $0.00
2000F 12 12 $0.00
87481 12 12 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 13 12 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 19 14 $0.00
3288F 22 22 $0.00
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 23 14 $0.00