Physician
New Hope Family Medicine P.A.
New Hope Family Medicine P.A. was paid $349K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 46% of everything it billed.
33Billing provider infoNEW HOPE FAMILY MEDICINE P.A.
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1740363621assigned 10/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$349K
24GClaims38,541
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#330 of 960
Median peer was paid$135K
This provider vs. median2.6×
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 | 1,432 | $43K | |
| 2019 | 1,171 | $41K | |
| 2020 | 459 | $24K | |
| 2021 | 2,973 | $42K | |
| 2022 | 9,338 | $75K | |
| 2023 | 10,465 | $62K | |
| 2024incomplete | 12,703 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 46% | 33,032 | 24,815 | $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 | 24% | 1,111 | 861 | $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 | 18% | 1,138 | 910 | $63K |
| 99058 | 2.4% | 600 | 458 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 444 | 375 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 79 | 73 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 42 | 37 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 97 | 74 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 67 | 37 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 205 | 89 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 41 | 41 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 83 | 71 | $1K |
13 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 67 | $602.79 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16 | $374.87 |
| 99050 | <1% | 12 | $317.76 | |
| 90686 | <1% | 111 | $35.64 | |
| 92551 | <1% | 230 | $8.02 | |
| 3078F | <1% | 154 | $5.98 | |
| 1160F | 0% | 234 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 1036F | 0% | 147 | $0.00 | |
| 99172 | 0% | 221 | $0.00 | |
| 3008F | 0% | 208 | $0.00 | |
| 3074F | 0% | 150 | $0.00 | |
| 99000 | 0% | 40 | $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 officialPARLIER, REGGIE (OWNER)