Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAWSON STREET FAMILY PRACTICE P.A.

NPI: 1811141849 · WILMINGTON, NC 28401 · Medical Physician Assistant · NPI assigned 11/04/2008

$126K
Total Medicaid Paid
4,266
Total Claims
3,335
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialDEMAS, RONALD (MEDICAL DIRECTOR / OWNER)
NPI Enumeration Date11/04/2008

Related Entities

Other providers sharing the same authorized official: DEMAS, RONALD

ProviderCityStateTotal Paid
DAWSON STREET URGENT CARE &MEDICAL CENTER,PA WILMINGTON NC $216K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,782 $54K
2019 1,519 $58K
2020 378 $10K
2021 587 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,384 1,088 $62K
99215 Prolong outpt/office vis 936 754 $55K
99199 Unlisted special service, procedure or report 587 502 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 322 182 $3K
36415 Collection of venous blood by venipuncture 860 682 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 22 12 $488.09
83036 Hemoglobin; glycosylated (A1C) 69 50 $263.34
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 26 $246.20
80305 15 13 $149.71
99406 23 12 $89.13
90688 17 14 $16.67