Semble, Elliott

Semble, Elliott was paid $70K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.

33Billing provider infoSEMBLE, ELLIOTT
WINSTON SALEM, NC 27103

33aNPI1780677237assigned 08/30/2005

33bProvider typeSpecialist

28Total paid$70K

24GClaims3,199

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Specialist providers in North Carolina

Rank by total paid#93 of 172

Median peer was paid$83K

This provider vs. median0.8×

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	405	$9K
2019	750	$14K
2020	398	$13K
2021	345	$11K
2022	332	$9K
2023	409	$6K
2024incomplete	560	$8K

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	100%	2,602	1,740	$70K
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%	176	105	$230.57
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	13	13	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	95	94	$0.00
1124F		0%	76	75	$0.00
G8482	Influenza immunization administered or previously received	0%	12	12	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	94	93	$0.00
4040F		0%	92	91	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	39	39	$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.