Omni Clinic PA

Omni Clinic PA was paid $498K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoOMNI CLINIC PA
JACKSONVILLE, NC 28546

33aNPI1790748960assigned 04/10/2006

33bProvider typeExclusive Provider Organization

28Total paid$498K

24GClaims31,697

24DCodes billed33

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Exclusive Provider Organization providers in North Carolina

Rank by total paid#4 of 9

Median peer was paid$275K

This provider vs. median1.8×

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	3,249	$60K
2019	2,132	$66K
2020	2,185	$76K
2021	2,996	$67K
2022	4,393	$60K
2023	5,510	$67K
2024incomplete	11,232	$103K

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%	4,343	3,500	$192K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	34%	6,687	4,719	$168K
99199	Unlisted special service, procedure or report	18%	16,350	7,494	$90K
99231	Subsequent hospital care, per day, straightforward or low complexity	3.1%	1,436	408	$15K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.4%	679	272	$12K
99238	Hospital discharge day management, 30 minutes or less	1.3%	377	344	$7K
99308	Subsequent nursing facility care, per day, straightforward	1.1%	434	407	$5K
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%	16	13	$2K
99223	Prolong inpt eval add15 m	<1%	15	15	$1K
0011A		<1%	41	29	$1K
99307		<1%	89	84	$1K
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%	274	223	$724.74

21 more codes

99401		<1%	46	$562.50
0012A		<1%	27	$534.69
0134A		<1%	54	$390.00
99406		<1%	54	$386.88
99235		<1%	13	$385.03
99222	Initial hospital care, per day, moderate complexity	<1%	12	$375.13
99454		<1%	63	$334.44
99318		<1%	19	$252.24
99490	Ccm add 20min	<1%	19	$234.25
99457		<1%	15	$120.90
90756		<1%	50	$105.71
G0008	Administration of influenza virus vaccine	<1%	110	$2.76
3078F		0%	72	$0.00
91313		0%	34	$0.00
91301		0%	101	$0.00
1111F		0%	13	$0.00
3074F		0%	92	$0.00
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	59	$0.00
90686		0%	33	$0.00
3044F		0%	53	$0.00
90674		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 officialBURKETT, TERESA (OFFICE SUPERVISOR)