Physician
Polyclinic Medical Center, INC.
Polyclinic Medical Center, INC. was paid $1.94M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 29% of everything it billed.
33Billing provider infoPOLYCLINIC MEDICAL CENTER, INC.
MATTHEWS, NC 28105
MATTHEWS, NC 28105
33aNPI1821059650assigned 03/31/2006
33bProvider typePediatrics Physician
28Total paid$1.94M
24GClaims139,774
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#163 of 433
Median peer was paid$942K
This provider vs. median2.1×
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 | 8,793 | $218K | |
| 2019 | 9,843 | $235K | |
| 2020 | 6,480 | $166K | |
| 2021 | 14,913 | $236K | |
| 2022 | 24,950 | $320K | |
| 2023 | 30,661 | $344K | |
| 2024incomplete | 44,134 | $421K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 29% | 88,291 | 51,529 | $561K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 11,108 | 7,922 | $535K |
| 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 | 24% | 7,784 | 5,144 | $460K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 1,362 | 1,131 | $105K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 948 | 746 | $77K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 2,418 | 1,851 | $41K |
| 99058 | 2.0% | 2,498 | 2,032 | $38K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 765 | 579 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 245 | 204 | $18K |
| 96127 | <1% | 4,658 | 3,683 | $16K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 918 | 762 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,275 | 1,049 | $11K |
35 more codes
| 99051 | <1% | 461 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 466 | $6K |
| 92551 | <1% | 3,599 | $5K | |
| 96161 | <1% | 1,434 | $4K | |
| 86308 | <1% | 615 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 32 | $3K |
| 99173 | <1% | 3,754 | $2K | |
| 82962 | <1% | 2,044 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 32 | $2K |
| 90734 | <1% | 109 | $1K | |
| 90686 | <1% | 548 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 14 | $1K |
| 99050 | <1% | 40 | $767.92 | |
| 90620 | <1% | 28 | $726.68 | |
| 86328 | <1% | 14 | $633.22 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 37 | $630.90 |
| 99401 | <1% | 27 | $595.77 | |
| 92567 | <1% | 37 | $504.68 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 15 | $436.04 |
| 99441 | <1% | 15 | $371.92 | |
| D1206 | Topical application of fluoride varnish | <1% | 15 | $192.28 |
| 90649 | <1% | 38 | $164.54 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 64 | $156.60 |
| 81003 | <1% | 65 | $112.90 | |
| 1111F | <1% | 1,306 | $0.12 | |
| 1030F | 0% | 90 | $0.00 | |
| 99000 | 0% | 165 | $0.00 | |
| 90651 | 0% | 17 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 19 | $0.00 |
| 3008F | 0% | 13 | $0.00 | |
| 1160F | 0% | 991 | $0.00 | |
| 1159F | 0% | 1,317 | $0.00 | |
| 90658 | 0% | 45 | $0.00 | |
| 3077F | 0% | 22 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 16 | $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 officialGARUBA, JOSI (CEO)