Physician
Randolph Specialty Group Practice
Randolph Specialty Group Practice was paid $5.33M by Medicaid between Jan 2018 and Oct 2021, across 67 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoRANDOLPH SPECIALTY GROUP PRACTICE
ASHEBORO, NC 27203
ASHEBORO, NC 27203
33aNPI1689804718assigned 07/23/2009
33bProvider typePediatrics Physician
28Total paid$5.33M
24GClaims200,485
24DCodes billed67
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#73 of 433
Median peer was paid$942K
This provider vs. median5.7×
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 CLAUSER, ROBERT controls 11+ 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 | 54,109 | $1.30M | |
| 2019 | 56,600 | $1.61M | |
| 2020 | 45,280 | $1.30M | |
| 2021 | 44,496 | $1.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 28,731 | 25,544 | $1.73M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 6,362 | 5,794 | $547K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 5,698 | 5,222 | $497K |
| 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 | 7.1% | 4,314 | 3,817 | $381K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.1% | 4,405 | 3,946 | $381K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.5% | 18,836 | 16,818 | $345K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.3% | 9,873 | 8,892 | $283K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 3,013 | 2,545 | $271K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.2% | 12,635 | 5,906 | $168K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 10,158 | 9,449 | $136K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 3,204 | 2,916 | $115K |
| 99199 | Unlisted special service, procedure or report | 1.6% | 10,583 | 9,194 | $85K |
55 more codes
| 90474 | <1% | 2,639 | $51K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,851 | $46K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 657 | $38K |
| 90651 | <1% | 935 | $32K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,538 | $31K |
| 99460 | <1% | 327 | $24K | |
| 87807 | <1% | 1,669 | $22K | |
| 90734 | <1% | 1,014 | $18K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 456 | $14K |
| 90620 | <1% | 453 | $14K | |
| 96127 | <1% | 4,416 | $13K | |
| 90686 | <1% | 6,407 | $12K | |
| 80061 | Lipid panel | <1% | 849 | $12K |
| 69210 | <1% | 310 | $11K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 278 | $9K |
| D1206 | Topical application of fluoride varnish | <1% | 427 | $6K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 548 | $6K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 590 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,754 | $4K |
| 81003 | <1% | 1,385 | $3K | |
| 99441 | <1% | 204 | $3K | |
| 92551 | <1% | 10,209 | $3K | |
| 99462 | <1% | 70 | $2K | |
| 99407 | <1% | 96 | $2K | |
| 99442 | <1% | 60 | $2K | |
| 96160 | <1% | 657 | $2K | |
| 90715 | <1% | 349 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 85 | $2K |
| 99173 | <1% | 11,655 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 94 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $669.72 |
| 83655 | <1% | 907 | $506.19 | |
| 82962 | <1% | 120 | $312.40 | |
| 90698 | <1% | 4,033 | $216.14 | |
| 90633 | <1% | 1,000 | $207.90 | |
| 85014 | <1% | 1,082 | $109.17 | |
| 94760 | <1% | 6,675 | $89.12 | |
| 86308 | <1% | 13 | $82.94 | |
| 94664 | <1% | 14 | $33.39 | |
| 90680 | 0% | 2,618 | $0.00 | |
| 90744 | 0% | 1,499 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 404 | $0.00 |
| 90716 | 0% | 117 | $0.00 | |
| 90696 | 0% | 66 | $0.00 | |
| 90647 | 0% | 12 | $0.00 | |
| 90688 | 0% | 131 | $0.00 | |
| 90619 | 0% | 56 | $0.00 | |
| 90674 | 0% | 58 | $0.00 | |
| 90685 | 0% | 677 | $0.00 | |
| 90670 | 0% | 4,421 | $0.00 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | 0% | 591 | $0.00 |
| 90707 | 0% | 93 | $0.00 | |
| 90710 | 0% | 52 | $0.00 | |
| S9441 | Asthma education, non-physician provider, per session | 0% | 27 | $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 officialCLAUSER, ROBERT (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Randolph Specialty Group Practice | Asheboro, NC | $2.10M |
| American Healthcare Systems, LLC | Asheboro, NC | $540K |
| Randolph Specialty Group Practice | Asheboro, NC | $318K |
| Randolph Specialty Group Practice | Liberty, NC | $284K |
| Randolph Specialty Group Practice | Asheboro, NC | $199K |
| Randolph Specialty Group Practice | Asheboro, NC | $157K |
| Randolph Specialty Group Practice | Asheboro, NC | $112K |
| Randolph Specialty Group Practice | Asheboro, NC | $52K |
| Randolph Specialty Group Practice | Seagrove, NC | $49K |
| American Healthcare Systems LLC | Asheboro, NC | $41K |
| Randolph Specialty Group Practice | Asheboro, NC | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.