Family Care Associates of Montgomery County PA
Family Care Associates of Montgomery County PA was paid $3.28M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoFAMILY CARE ASSOCIATES OF MONTGOMERY COUNTY PA
TROY, NC 27371
TROY, NC 27371
33aNPI1710963335assigned 12/15/2005
33bProvider typeSpecialist
28Total paid$3.28M
24GClaims135,374
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#16 of 172
Median peer was paid$83K
This provider vs. median40×
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 | 12,540 | $375K | |
| 2019 | 12,786 | $401K | |
| 2020 | 13,692 | $439K | |
| 2021 | 18,605 | $498K | |
| 2022 | 21,512 | $519K | |
| 2023 | 24,291 | $537K | |
| 2024incomplete | 31,948 | $514K |
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 | 43% | 33,700 | 25,198 | $1.41M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 41% | 25,121 | 18,919 | $1.36M |
| 99199 | Unlisted special service, procedure or report | 4.9% | 24,483 | 13,956 | $161K |
| 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 | 4.2% | 3,078 | 2,378 | $139K |
| 80061 | Lipid panel | 1.5% | 6,099 | 5,151 | $49K |
| 94060 | <1% | 980 | 765 | $26K | |
| 93000 | <1% | 2,334 | 1,932 | $24K | |
| 94729 | <1% | 905 | 714 | $16K | |
| 81003 | <1% | 11,003 | 8,747 | $14K | |
| 94727 | <1% | 897 | 708 | $13K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,215 | 6,878 | $12K |
| 82947 | <1% | 5,671 | 4,350 | $12K |
38 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,856 | $11K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 289 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 668 | $7K |
| 94200 | <1% | 967 | $5K | |
| 80305 | <1% | 1,415 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 34 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 367 | $4K |
| 94010 | <1% | 283 | $3K | |
| 95923 | <1% | 48 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 21 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 92567 | <1% | 57 | $630.12 | |
| 99406 | <1% | 55 | $431.27 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 43 | $355.68 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 16 | $96.70 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 295 | $36.23 |
| 90661 | <1% | 12 | $32.65 | |
| 94760 | <1% | 109 | $28.98 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 83 | $14.50 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 13 | $11.81 |
| 3074F | <1% | 1,202 | $0.13 | |
| 3075F | <1% | 462 | $0.11 | |
| 3077F | <1% | 537 | $0.09 | |
| G0008 | Administration of influenza virus vaccine | 0% | 52 | $0.00 |
| 1036F | 0% | 22 | $0.00 | |
| 3080F | 0% | 545 | $0.00 | |
| 3079F | 0% | 842 | $0.00 | |
| 1034F | 0% | 311 | $0.00 | |
| 36416 | 0% | 83 | $0.00 | |
| 3008F | 0% | 293 | $0.00 | |
| 90674 | 0% | 56 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 29 | $0.00 |
| 90688 | 0% | 16 | $0.00 | |
| 4004F | 0% | 680 | $0.00 | |
| 1159F | 0% | 114 | $0.00 | |
| 3078F | 0% | 770 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 80 | $0.00 |
| 1160F | 0% | 149 | $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 officialWOODYEAR, JOHN (PRESIDENT)