Buffalo Lake Medical, PLLC

Buffalo Lake Medical, PLLC was paid $153K by Medicaid between Jan 2019 and Mar 2023, across 4 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 80% of everything it billed.

33Billing provider infoBUFFALO LAKE MEDICAL, PLLC
CAMERON, NC 28326

33aNPI1699178897assigned 10/01/2014

33bProvider typePhysician Assistant

28Total paid$153K

24GClaims22,399

24DCodes billed4

24AFirst – last monthJan 2019 – Mar 2023

Compared with peers

Next to other Physician Assistant providers in North Carolina

Rank by total paid#34 of 103

Median peer was paid$24K

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

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
2019	455	$12K
2020	168	$6K
2021	6,798	$54K
2022	13,513	$75K
2023	1,465	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	80%	21,323	14,115	$122K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	690	380	$19K
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	7.4%	344	172	$11K
99401		<1%	42	22	$397.81

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 officialHOLDEN, RONNITA (OWNER OF GROUP)