Physician
Rockingham Internal Medicine Associates PA
Rockingham Internal Medicine Associates PA was paid $428K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoROCKINGHAM INTERNAL MEDICINE ASSOCIATES PA
EDEN, NC 27288
EDEN, NC 27288
33aNPI1700848645assigned 04/05/2006
33bProvider typeInternal Medicine Physician
28Total paid$428K
24GClaims56,277
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#152 of 616
Median peer was paid$74K
This provider vs. median5.8×
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 | 5,864 | $40K | |
| 2019 | 5,477 | $55K | |
| 2020 | 4,023 | $56K | |
| 2021 | 5,261 | $56K | |
| 2022 | 6,857 | $47K | |
| 2023 | 9,383 | $50K | |
| 2024incomplete | 19,412 | $123K |
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 | 51% | 11,310 | 6,224 | $220K |
| 99199 | Unlisted special service, procedure or report | 39% | 25,272 | 15,305 | $166K |
| 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 | 2.3% | 234 | 148 | $10K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.9% | 257 | 105 | $8K |
| 99490 | Ccm add 20min | 1.5% | 566 | 524 | $7K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.4% | 269 | 264 | $6K |
| 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% | 32 | 28 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,554 | 1,587 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | 17 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 42 | 37 | $2K |
| 99223 | Prolong inpt eval add15 m | <1% | 14 | 12 | $668.34 |
| 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) | <1% | 536 | 251 | $514.46 |
29 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 27 | $386.74 |
| 99217 | <1% | 19 | $238.72 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 703 | $220.34 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 91 | $14.39 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,655 | $0.06 |
| G8939 | Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible at the time of the encounter | <1% | 786 | $0.04 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,047 | $0.03 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 664 | $0.03 |
| 3017F | <1% | 452 | $0.03 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 341 | $0.02 |
| 0518F | <1% | 726 | $0.01 | |
| 3288F | <1% | 696 | $0.01 | |
| 1101F | <1% | 755 | $0.01 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | <1% | 74 | $0.01 |
| 3078F | 0% | 409 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 419 | $0.00 |
| 1159F | 0% | 1,458 | $0.00 | |
| 1160F | 0% | 1,456 | $0.00 | |
| 3077F | 0% | 115 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 635 | $0.00 |
| 99397 | 0% | 70 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 30 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 13 | $0.00 |
| 3079F | 0% | 368 | $0.00 | |
| 3074F | 0% | 725 | $0.00 | |
| 1111F | 0% | 1,193 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 173 | $0.00 |
| 3075F | 0% | 13 | $0.00 | |
| 3080F | 0% | 61 | $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 officialHASANAJ, XAJE (PRESIDENT)