Boiling Spring Lakes Family Medicine, PC

Boiling Spring Lakes Family Medicine, PC was paid $91K by Medicaid between May 2018 and Dec 2024, across 4 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 93% of everything it billed.

33Billing provider infoBOILING SPRING LAKES FAMILY MEDICINE, PC
SOUTHPORT, NC 28461

33aNPI1730275090assigned 10/05/2006

33bProvider typeFamily Medicine Physician

28Total paid$91K

24GClaims15,994

24DCodes billed4

24AFirst – last monthMay 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#542 of 960

Median peer was paid$135K

This provider vs. median0.7×

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.

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	71	$2K
2019	59	$971.53
2020	43	$579.61
2021	1,340	$9K
2022	3,111	$16K
2023	4,107	$20K
2024incomplete	7,263	$42K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	93%	15,776	6,880	$85K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.4%	155	88	$6K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	17	12	$226.60
90686		<1%	46	27	$33.10

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 officialPALAGRUTO, DOMENIC (OWNER)