Physician
Pelican Family Medicine, P.A.
Pelican Family Medicine, P.A. was paid $1.15M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoPELICAN FAMILY MEDICINE, P.A.
WILMINGTON, NC 28403
WILMINGTON, NC 28403
33aNPI1669480042assigned 08/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.15M
24GClaims45,221
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#123 of 960
Median peer was paid$135K
This provider vs. median8.5×
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 | 6,049 | $184K | |
| 2019 | 5,017 | $156K | |
| 2020 | 2,803 | $107K | |
| 2021 | 6,737 | $196K | |
| 2022 | 7,508 | $165K | |
| 2023 | 6,745 | $131K | |
| 2024incomplete | 10,362 | $214K |
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 | 39% | 9,039 | 7,393 | $445K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 26% | 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 | 6.8% | 893 | 694 | $78K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 1,662 | 1,323 | $71K |
| 99199 | Unlisted special service, procedure or report | 4.6% | 14,423 | 14,067 | $53K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 3.4% | 910 | 98 | $39K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 2.2% | 137 | 97 | $26K |
| 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 | 1.6% | 159 | 138 | $18K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 1.1% | 615 | 553 | $12K |
| 99490 | Ccm add 20min | <1% | 1,107 | 1,094 | $10K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 824 | 755 | $9K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 43 | 41 | $7K |
51 more codes
| 80053 | Comprehensive metabolic panel | <1% | 1,200 | $7K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 49 | $6K |
| 95923 | <1% | 93 | $6K | |
| 84481 | <1% | 442 | $6K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,130 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 136 | $4K |
| 80306 | <1% | 367 | $4K | |
| 93922 | <1% | 64 | $4K | |
| 95921 | <1% | 88 | $4K | |
| 80061 | Lipid panel | <1% | 405 | $4K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 76 | $3K |
| 84439 | <1% | 444 | $3K | |
| 93923 | <1% | 30 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 57 | $3K |
| 95886 | <1% | 37 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 496 | $2K |
| 82947 | <1% | 1,250 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 149 | $2K |
| 95912 | <1% | 13 | $1K | |
| 99423 | <1% | 36 | $1K | |
| 87581 | <1% | 62 | $1K | |
| 87486 | <1% | 62 | $1K | |
| 84479 | <1% | 288 | $938.45 | |
| 81003 | <1% | 732 | $787.65 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 474 | $673.90 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 13 | $288.94 |
| 87640 | <1% | 12 | $272.16 | |
| 87653 | <1% | 12 | $272.16 | |
| 96127 | <1% | 77 | $175.92 | |
| 97760 | <1% | 20 | $141.04 | |
| 93000 | <1% | 12 | $138.82 | |
| 85018 | <1% | 101 | $127.88 | |
| 93040 | <1% | 26 | $117.92 | |
| 86580 | <1% | 50 | $110.97 | |
| 84403 | <1% | 12 | $95.55 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 18 | $57.36 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 60 | $46.76 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 20 | $43.18 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 728 | $35.56 |
| 87500 | <1% | 12 | $30.24 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 78 | $5.46 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 34 | $0.00 |
| 1101F | 0% | 12 | $0.00 | |
| 3044F | 0% | 38 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 12 | $0.00 |
| 2000F | 0% | 12 | $0.00 | |
| 87481 | 0% | 12 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 13 | $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) | 0% | 19 | $0.00 |
| 3288F | 0% | 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 | 0% | 23 | $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 officialARMITAGE, MARK (OWNER/PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Pelican Family Medicine at Monkey Junction | Wilmington, NC | $428K |
| Pelican Family Medicine, P.A. | Hampstead, NC | $39K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.