Clinic
Southeastern Health Physician Services
Southeastern Health Physician Services was paid $291K by Medicaid between Jan 2018 and Jun 2021, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.
33Billing provider infoSOUTHEASTERN HEALTH PHYSICIAN SERVICES
LUMBERTON, NC 28360
LUMBERTON, NC 28360
33aNPI1720434525assigned 05/11/2016
33bProvider typeClinic/Center
28Total paid$291K
24GClaims4,556
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Clinic/Center providers in North Carolina
Rank by total paid#22 of 57
Median peer was paid$97K
This provider vs. median3.0×
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 | 1,311 | $96K | |
| 2019 | 1,746 | $100K | |
| 2020 | 1,108 | $68K | |
| 2021 | 391 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 64% | 2,909 | 2,615 | $187K |
| 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 | 20% | 549 | 509 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.5% | 665 | 591 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.2% | 144 | 128 | $9K |
| 95812 | 2.8% | 205 | 191 | $8K | |
| 95816 | <1% | 26 | 25 | $782.36 | |
| 99442 | <1% | 18 | 17 | $727.67 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 40 | 40 | $87.75 |
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 officialBRITT, FORDHAM (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Southeastern Regional Physician Services | Lumberton, NC | $985K |
| Southeastern Regional Physician Services | Rowland, NC | $766K |
| Southeastern Regional Physician Services | Lumberton, NC | $503K |
| Southeastern Regional Physician Services | Lumberton, NC | $283K |
| Southeastern Regional Physician Services | Lumberton, NC | $251K |
| Southeastern Regional Physician Services | Maxton, NC | $154K |
| Southeastern Regional Physician Services | Lumberton, NC | $45K |
| Southeastern Regional Physician Services | Lumberton, NC | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.