Physician
Benson Area Medical Center, INC.
Benson Area Medical Center, INC. was paid $2.35M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoBENSON AREA MEDICAL CENTER, INC.
BENSON, NC 27504
BENSON, NC 27504
33aNPI1831130798assigned 06/09/2006
33bProvider typeFamily Medicine Physician
28Total paid$2.35M
24GClaims110,382
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#50 of 960
Median peer was paid$135K
This provider vs. median17×
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 | 6,077 | $302K | |
| 2019 | 5,631 | $270K | |
| 2020 | 5,303 | $263K | |
| 2021 | 11,744 | $330K | |
| 2022 | 21,532 | $318K | |
| 2023 | 21,873 | $336K | |
| 2024incomplete | 38,222 | $526K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 75% | 28,055 | 21,460 | $1.76M |
| 99199 | Unlisted special service, procedure or report | 21% | 69,055 | 40,869 | $486K |
| 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 | 2.3% | 1,936 | 1,661 | $53K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,345 | 1,329 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 357 | 299 | $7K |
| 90686 | <1% | 849 | 649 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 482 | 197 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 28 | 27 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 461 | 387 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | 26 | $2K |
| 96127 | <1% | 1,900 | 1,536 | $2K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 39 | 33 | $2K |
28 more codes
| 71046 | Radiologic examination, chest; 2 views | <1% | 139 | $1K |
| 90656 | <1% | 79 | $943.56 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 78 | $845.06 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 46 | $553.47 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 48 | $399.27 |
| 92552 | <1% | 206 | $278.89 | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 14 | $223.20 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 28 | $195.23 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 383 | $192.93 |
| 81002 | <1% | 74 | $157.14 | |
| 81025 | <1% | 25 | $88.44 | |
| 99490 | Ccm add 20min | <1% | 17 | $24.66 |
| 99173 | <1% | 198 | $15.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 81 | $11.60 |
| 3074F | <1% | 1,206 | $0.17 | |
| 3079F | <1% | 513 | $0.12 | |
| 3078F | <1% | 930 | $0.11 | |
| 3075F | <1% | 156 | $0.08 | |
| 3080F | <1% | 64 | $0.01 | |
| 3077F | <1% | 134 | $0.01 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 216 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 286 | $0.00 |
| 3044F | 0% | 12 | $0.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 0% | 13 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 48 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 37 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 800 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 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 officialNUNNERY, DIXIE (FINANCIAL OPERATIONS MANAGER)