Physician
Ardmore Family Practice P.A.
Ardmore Family Practice P.A. was paid $2.23M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoARDMORE FAMILY PRACTICE P.A.
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
33aNPI1750342820assigned 03/29/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.23M
24GClaims127,674
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#54 of 960
Median peer was paid$135K
This provider vs. median17×
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 | 6,869 | $230K | |
| 2019 | 6,412 | $268K | |
| 2020 | 4,082 | $187K | |
| 2021 | 15,583 | $377K | |
| 2022 | 26,424 | $455K | |
| 2023 | 27,935 | $388K | |
| 2024incomplete | 40,369 | $325K |
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 | 47% | 20,372 | 15,839 | $1.05M |
| 99199 | Unlisted special service, procedure or report | 16% | 87,882 | 55,846 | $358K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 10% | 1,818 | 1,339 | $228K |
| 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 | 8.7% | 2,898 | 2,296 | $195K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 5.3% | 1,120 | 844 | $119K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 800 | 684 | $67K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.6% | 3,321 | 2,708 | $58K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 861 | 683 | $28K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 268 | 214 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 275 | 261 | $22K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 625 | 470 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 170 | 138 | $13K |
36 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 703 | $9K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 216 | $8K |
| 99051 | <1% | 302 | $6K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 75 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 479 | $4K |
| 96127 | <1% | 886 | $3K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 126 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 52 | $3K |
| 90686 | <1% | 823 | $2K | |
| 92552 | <1% | 649 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 46 | $2K |
| 87430 | <1% | 92 | $1K | |
| 0072A | <1% | 19 | $1K | |
| 87631 | <1% | 15 | $1K | |
| 0071A | <1% | 26 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $972.63 |
| 0124A | <1% | 19 | $852.18 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 98 | $685.93 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 19 | $621.90 |
| 81003 | <1% | 347 | $601.66 | |
| 90651 | <1% | 21 | $420.48 | |
| 99173 | <1% | 1,603 | $413.37 | |
| D1206 | Topical application of fluoride varnish | <1% | 18 | $274.50 |
| 81025 | <1% | 52 | $246.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 18 | $212.92 |
| 90656 | <1% | 13 | $97.75 | |
| 3074F | 0% | 150 | $0.00 | |
| 90647 | 0% | 21 | $0.00 | |
| 91307 | 0% | 38 | $0.00 | |
| 3079F | 0% | 28 | $0.00 | |
| 3078F | 0% | 154 | $0.00 | |
| 90670 | 0% | 53 | $0.00 | |
| 99072 | 0% | 37 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 91300 | 0% | 24 | $0.00 | |
| 90685 | 0% | 17 | $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 officialALFORD, DEBRA (PRACTICE MANAGER)