Clinic
DRX High Point, PLLC
DRX High Point, PLLC was paid $1.56M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 40% of everything it billed.
33Billing provider infoDRX HIGH POINT, PLLC
HIGH POINT, NC 27262
HIGH POINT, NC 27262
33aNPI1669701306assigned 12/08/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$1.56M
24GClaims35,405
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#22 of 116
Median peer was paid$226K
This provider vs. median6.9×
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 | 1,785 | $160K | |
| 2019 | 1,496 | $143K | |
| 2020 | 1,847 | $87K | |
| 2021 | 4,500 | $149K | |
| 2022 | 6,768 | $236K | |
| 2023 | 8,031 | $296K | |
| 2024incomplete | 10,978 | $487K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 5,804 | 4,453 | $617K |
| 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 | 26% | 5,633 | 4,356 | $405K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 2,967 | 1,735 | $192K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.1% | 4,932 | 3,232 | $127K |
| 99051 | 4.6% | 4,444 | 3,217 | $71K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.3% | 6,240 | 2,437 | $68K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 1,163 | 712 | $50K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 992 | 462 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 785 | 683 | $9K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 118 | 44 | $4K |
| 99070 | <1% | 446 | 355 | $4K | |
| 87428 | <1% | 26 | 12 | $890.26 |
7 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 21 | $574.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $533.57 |
| 81003 | <1% | 248 | $445.34 | |
| 81025 | <1% | 29 | $171.60 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $16.20 |
| 99072 | <1% | 1,135 | $0.17 | |
| 99000 | 0% | 374 | $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 officialCARMACK, JOHN (MEDICAL DIRECTOR)