Physician
NHCS Physicians INC
NHCS Physicians INC was paid $1.78M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoNHCS PHYSICIANS INC
ROCKY MOUNT, NC 27804
ROCKY MOUNT, NC 27804
33aNPI1801252275assigned 01/14/2016
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$1.78M
24GClaims47,903
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in North Carolina
Rank by total paid#3 of 17
Median peer was paid$127K
This provider vs. median14×
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 | 1,566 | $38K | |
| 2019 | 4,059 | $118K | |
| 2020 | 5,891 | $260K | |
| 2021 | 8,880 | $364K | |
| 2022 | 8,266 | $320K | |
| 2023 | 9,065 | $307K | |
| 2024incomplete | 10,176 | $369K |
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 | 21% | 9,890 | 8,747 | $367K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 16% | 7,146 | 2,464 | $286K |
| 99460 | 11% | 2,551 | 2,165 | $196K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 9.1% | 2,767 | 2,343 | $161K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 8.1% | 4,974 | 4,468 | $145K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.4% | 2,147 | 741 | $113K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 3,357 | 2,908 | $85K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 4.3% | 1,122 | 897 | $76K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 987 | 900 | $54K |
| 54150 | 2.8% | 400 | 331 | $49K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.6% | 852 | 658 | $46K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 334 | 256 | $32K |
47 more codes
| 93000 | 1.6% | 3,660 | $28K | |
| 99462 | <1% | 485 | $16K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 208 | $14K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 94 | $9K |
| 93308 | <1% | 757 | $9K | |
| 0002A | <1% | 170 | $8K | |
| 0001A | <1% | 181 | $8K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 82 | $7K |
| 99254 | <1% | 61 | $6K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 62 | $6K |
| 99283 | Emergency room visit (moderate) | <1% | 141 | $5K |
| 0012A | <1% | 89 | $5K | |
| 77427 | <1% | 77 | $5K | |
| 99464 | <1% | 60 | $4K | |
| 99477 | <1% | 21 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 42 | $4K |
| 0011A | <1% | 85 | $3K | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 45 | $3K |
| 99221 | <1% | 46 | $2K | |
| 93016 | <1% | 246 | $2K | |
| 0031A | <1% | 60 | $2K | |
| 99284 | Emergency room visit (serious) | <1% | 38 | $2K |
| 93321 | <1% | 382 | $1K | |
| 93018 | <1% | 222 | $1K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $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% | 506 | $1K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 15 | $990.65 |
| 0004A | <1% | 17 | $945.71 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 39 | $836.81 |
| 93325 | <1% | 447 | $780.26 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $664.82 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 38 | $563.71 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | $272.56 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 16 | $264.49 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 71 | $174.86 |
| 99152 | <1% | 32 | $111.50 | |
| 99401 | <1% | 20 | $75.86 | |
| 81002 | <1% | 17 | $41.01 | |
| 3074F | 0% | 785 | $0.00 | |
| 91301 | 0% | 212 | $0.00 | |
| 91303 | 0% | 60 | $0.00 | |
| 3079F | 0% | 156 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 3078F | 0% | 1,024 | $0.00 | |
| 91300 | 0% | 396 | $0.00 | |
| 3077F | 0% | 126 | $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 officialHARTLEY, SHAWN (CFO)
Parent organizationNHCS PHYSICIANS, INC.
| Provider | Location | Paid |
|---|---|---|
| Nash Hospitals INC | Rocky Mount, NC | $42.41M |
| NHCS Physicians INC | Rocky Mount, NC | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.