Physician
Open Water Medical, PA
Open Water Medical, PA was paid $2.34M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoOPEN WATER MEDICAL, PA
BEAUFORT, NC 28516
BEAUFORT, NC 28516
33aNPI1750482493assigned 09/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.34M
24GClaims197,364
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#51 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 | 13,102 | $170K | |
| 2019 | 10,075 | $184K | |
| 2020 | 7,199 | $125K | |
| 2021 | 13,189 | $264K | |
| 2022 | 23,055 | $294K | |
| 2023 | 40,186 | $427K | |
| 2024incomplete | 90,558 | $875K |
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 | 39% | 30,975 | 14,761 | $906K |
| 99199 | Unlisted special service, procedure or report | 33% | 118,525 | 64,152 | $774K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 7,367 | 3,803 | $199K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 8.1% | 18,347 | 8,893 | $190K |
| 99072 | 2.9% | 3,987 | 1,961 | $68K | |
| 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 | 1.7% | 419 | 306 | $40K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 280 | 221 | $20K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,539 | 717 | $18K |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 2,166 | 1,256 | $18K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 1,750 | 1,026 | $15K |
| 99493 | <1% | 128 | 96 | $13K | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 253 | 130 | $8K |
45 more codes
| 3074F | <1% | 977 | $8K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 89 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 564 | $7K |
| 3078F | <1% | 771 | $6K | |
| 80305 | <1% | 876 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,170 | $4K |
| 87428 | <1% | 136 | $4K | |
| 3079F | <1% | 617 | $3K | |
| 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% | 666 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 122 | $2K |
| 99443 | <1% | 123 | $2K | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | <1% | 225 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 415 | $2K |
| 1101F | <1% | 427 | $2K | |
| 3077F | <1% | 262 | $2K | |
| G8482 | Influenza immunization administered or previously received | <1% | 237 | $2K |
| 99318 | <1% | 84 | $1K | |
| 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) | <1% | 451 | $1K |
| 0012A | <1% | 25 | $885.00 | |
| 3075F | <1% | 361 | $850.01 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 82 | $750.72 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 73 | $732.36 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 133 | $700.00 |
| 3080F | <1% | 140 | $650.01 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | <1% | 96 | $600.00 |
| 90686 | <1% | 241 | $532.20 | |
| 3017F | <1% | 152 | $500.00 | |
| 0011A | <1% | 23 | $450.82 | |
| 99490 | Ccm add 20min | <1% | 100 | $445.87 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 174 | $306.05 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 297 | $257.10 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 86 | $233.25 |
| 3044F | <1% | 123 | $200.20 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 136 | $200.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 105 | $163.92 |
| 36416 | <1% | 134 | $120.00 | |
| 99497 | <1% | 18 | $94.38 | |
| 82044 | <1% | 49 | $54.79 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 60 | $50.00 |
| 90688 | <1% | 43 | $17.85 | |
| G0008 | Administration of influenza virus vaccine | 0% | 247 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 21 | $0.00 |
| 91301 | 0% | 71 | $0.00 | |
| 90674 | 0% | 61 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 365 | $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 officialSMITH, TISHA (PRACTICE MANAGER)