Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Whiteville › NPI 1790225936
Physician

East Carolina Surgical, P.A.

East Carolina Surgical, P.A. was paid $140K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoEAST CAROLINA SURGICAL, P.A.
WHITEVILLE, NC 28472
33aNPI1790225936assigned 03/07/2017
33bProvider typeSurgery Physician
28Total paid$140K
24GClaims10,635
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Surgery Physician providers in North Carolina

Rank by total paid#8 of 108
Median peer was paid$6K
This provider vs. median23×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20182,305$24K
20191,994$34K
20201,025$12K
20211,482$23K
20221,110$12K
20231,554$19K
2024incomplete1,165$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61% 7,302 2,878 $85K
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 17% 808 507 $23K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 14% 2,150 651 $20K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.4% 344 224 $10K
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% 14 13 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 17 12 $129.14

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 officialDANIEL, HUGH (PHYSCIAN/OWNER)