Cumberland Medical Associates, PC

Cumberland Medical Associates, PC was paid $802K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.

33Billing provider infoCUMBERLAND MEDICAL ASSOCIATES, PC
FAYETTEVILLE, NC 28314

33aNPI1801945118assigned 01/09/2007

33bProvider typeInternal Medicine Physician

28Total paid$802K

24GClaims56,668

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#95 of 616

Median peer was paid$74K

This provider vs. median11×

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	3,112	$90K
2019	2,171	$114K
2020	1,789	$101K
2021	4,593	$108K
2022	11,190	$114K
2023	11,999	$108K
2024incomplete	21,814	$167K

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	77%	12,646	9,256	$616K
99199	Unlisted special service, procedure or report	17%	41,435	34,355	$140K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	1.4%	403	282	$11K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	1.1%	369	254	$9K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.1%	679	468	$9K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	67	51	$4K
99401		<1%	194	156	$4K
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%	17	14	$2K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	87	57	$2K
99442		<1%	61	34	$1K
99443		<1%	17	12	$730.29
93922		<1%	23	18	$603.18

12 more codes

92546		<1%	25	$568.34
95117		<1%	78	$417.14
95923		<1%	22	$388.45
95943		<1%	18	$370.85
36415	Collection of venous blood by venipuncture	<1%	305	$354.84
92540		<1%	19	$290.34
93000		<1%	26	$285.36
86769		<1%	22	$233.13
86328		<1%	22	$101.77
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	61	$67.76
81002		<1%	57	$59.85
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	15	$7.76

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 officialDALVI, SANJIV (OWNER)