Physician
Eden Internal Medicine PLLC
Eden Internal Medicine PLLC was paid $695K by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoEDEN INTERNAL MEDICINE PLLC
EDEN, NC 27288
EDEN, NC 27288
33aNPI1730288895assigned 09/22/2006
33bProvider typeInternal Medicine Physician
28Total paid$695K
24GClaims79,671
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#110 of 616
Median peer was paid$74K
This provider vs. median9.4×
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 | |
|---|---|---|---|
| 2018 | 4,327 | $34K | |
| 2019 | 5,128 | $54K | |
| 2020 | 6,387 | $64K | |
| 2021 | 13,615 | $120K | |
| 2022 | 13,237 | $129K | |
| 2023 | 18,470 | $130K | |
| 2024incomplete | 18,507 | $165K |
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 | 38% | 9,151 | 6,830 | $265K |
| 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 | 35% | 6,167 | 4,552 | $246K |
| 99199 | Unlisted special service, procedure or report | 21% | 21,832 | 12,615 | $143K |
| 99490 | Ccm add 20min | 1.8% | 1,466 | 1,395 | $13K |
| 99406 | 1.7% | 2,023 | 1,402 | $12K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,259 | 1,018 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 363 | 298 | $2K |
| 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% | 738 | 545 | $2K |
| 99454 | <1% | 193 | 190 | $2K | |
| 99457 | <1% | 208 | 204 | $2K | |
| 99458 | <1% | 154 | 150 | $1K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 328 | 276 | $900.85 |
36 more codes
| 99439 | <1% | 42 | $619.82 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 18 | $413.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 74 | $336.52 |
| 96127 | <1% | 87 | $207.94 | |
| 82570 | <1% | 110 | $156.46 | |
| 82044 | <1% | 93 | $109.43 | |
| 90756 | <1% | 40 | $106.73 | |
| 81002 | <1% | 89 | $87.14 | |
| 90674 | <1% | 55 | $28.52 | |
| 3074F | <1% | 1,663 | $26.15 | |
| 3078F | <1% | 1,687 | $25.34 | |
| 1036F | <1% | 1,841 | $25.00 | |
| 82043 | <1% | 16 | $7.50 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 15,782 | $5.01 |
| 3075F | <1% | 1,553 | $1.36 | |
| 3079F | <1% | 1,886 | $1.16 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 4,674 | $0.20 |
| 1125F | <1% | 69 | $0.05 | |
| 1111F | <1% | 13 | $0.01 | |
| 4004F | 0% | 1,865 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,435 | $0.00 |
| 2014F | 0% | 192 | $0.00 | |
| 3077F | 0% | 46 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 186 | $0.00 |
| 99072 | 0% | 116 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 17 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 33 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 46 | $0.00 |
| G9920 | Screening performed and negative | 0% | 19 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 26 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 17 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,683 | $0.00 |
| 3008F | 0% | 198 | $0.00 | |
| 3044F | 0% | 41 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 45 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 32 | $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 officialWINE, JOYCE (OFFICE MANAGER)