Southeastern Regional Physician Services
Southeastern Regional Physician Services was paid $685K by Medicaid between Aug 2018 and Oct 2023, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 69% of everything it billed.
LUMBERTON, NC 28358
Next to other Obstetrics & Gynecology Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 962 | $20K | |
| 2019 | 5,822 | $170K | |
| 2020 | 8,472 | $212K | |
| 2021 | 9,057 | $198K | |
| 2022 | 7,159 | $72K | |
| 2023 | 5,007 | $14K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 69% | 8,670 | 6,859 | $471K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 6.5% | 515 | 421 | $45K |
| 99199 | Unlisted special service, procedure or report | 5.7% | 11,897 | 11,342 | $39K |
| 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 | 5.0% | 481 | 364 | $34K |
| 81003 | 2.4% | 6,997 | 5,572 | $17K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.6% | 105 | 100 | $11K |
| 99385 | 1.1% | 89 | 79 | $8K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 100 | 89 | $7K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 168 | 141 | $7K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 91 | 81 | $6K |
| 85018 | <1% | 2,538 | 2,140 | $6K | |
| 81025 | <1% | 996 | 709 | $6K |
16 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 2,208 | $5K |
| 59025 | Fetal non-stress test | <1% | 183 | $4K |
| 76801 | <1% | 33 | $3K | |
| 87210 | <1% | 765 | $3K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 35 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 162 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 28 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 182 | $2K |
| 90686 | <1% | 112 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $1K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 16 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $949.12 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $623.18 |
| 90715 | <1% | 16 | $481.32 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $272.04 |
| 96127 | <1% | 12 | $39.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Southeastern Regional Physician Services | Lumberton, NC | $6.76M |
| HD Industries, LLC | Portland, OR | $2.67M |
| Southeastern Regional Medical Center | Lumberton, NC | $1.52M |
| Southeastern Regioinal Medical Center | Lumberton, NC | $874K |
| Southeastern Regional Medical Center | Lumberton, NC | $430K |
| Tei and Associates LLC | Sugar Land, TX | $204K |
| Southeastern Regional Physician Services | Lumberton, NC | $168K |
| Mobile Gastroenterology, PC | Mobile, AL | $55K |
| Southeastern Regioinal Medical Center | Lumberton, NC | $51K |
| Southeastern Regional Physician Services | Hope Mills, NC | $27K |
| Southeastern Regional Physician Services | Lumberton, NC | $3K |
| Tei and Associates LLC | Angleton, TX | $2K |
| Southeastern Regional Medical Center | Lumberton, NC | $690.20 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.