Foot & Ankle Associates of North Carolina, PLLC
Foot & Ankle Associates of North Carolina, PLLC was paid $945K by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is L1971, Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment — 18% of everything it billed.
33Billing provider infoFOOT & ANKLE ASSOCIATES OF NORTH CAROLINA, PLLC
ROCKY MOUNT, NC 27804
ROCKY MOUNT, NC 27804
33aNPI1790873503assigned 10/10/2006
33bProvider typePodiatrist
28Total paid$945K
24GClaims49,313
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Podiatrist providers in North Carolina
Rank by total paid#3 of 47
Median peer was paid$22K
This provider vs. median42×
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 | 5,643 | $71K | |
| 2019 | 8,330 | $160K | |
| 2020 | 8,012 | $151K | |
| 2021 | 8,412 | $155K | |
| 2022 | 6,730 | $137K | |
| 2023 | 5,382 | $112K | |
| 2024incomplete | 6,804 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| L1971 | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment | 18% | 886 | 447 | $168K |
| 11721 | 15% | 15,656 | 12,082 | $142K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 3,630 | 2,549 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 5,053 | 3,615 | $105K |
| 76000 | 7.4% | 6,697 | 4,391 | $70K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 4,560 | 3,312 | $61K |
| 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 | 6.0% | 973 | 701 | $56K |
| L4386 | Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 4.7% | 729 | 534 | $44K |
| 73630 | 3.4% | 2,192 | 1,078 | $32K | |
| 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 | 3.0% | 933 | 669 | $29K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 2.2% | 188 | 72 | $21K |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | 2.1% | 2,549 | 1,101 | $20K |
24 more codes
| 93923 | 1.5% | 581 | $14K | |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | 1.4% | 2,668 | $13K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.3% | 348 | $12K |
| L3000 | Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each | <1% | 29 | $7K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 237 | $5K |
| L3260 | Surgical boot/shoe, each | <1% | 148 | $4K |
| 73620 | <1% | 177 | $3K | |
| 87481 | <1% | 102 | $2K | |
| 87641 | <1% | 189 | $2K | |
| 87799 | <1% | 102 | $1K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 29 | $1K |
| 10060 | <1% | 19 | $876.89 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 13 | $492.24 |
| 76970 | <1% | 87 | $396.78 | |
| L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | <1% | 18 | $365.85 |
| 17250 | <1% | 22 | $356.59 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 17 | $349.17 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 30 | $303.68 |
| 87640 | <1% | 30 | $303.68 | |
| 87500 | <1% | 30 | $273.44 | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 18 | $237.60 |
| L1902 | Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf | <1% | 34 | $135.94 |
| 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% | 49 | $90.40 |
| 0598T | 0% | 290 | $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 officialSTEWART, CLARENCE (PARTNER)