RDMG Associates PA
RDMG Associates PA was paid $552K by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
MORGANTON, NC 28655
Next to other Nurse Practitioner 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 | 6,848 | $75K | |
| 2019 | 8,198 | $72K | |
| 2020 | 8,473 | $74K | |
| 2021 | 13,619 | $103K | |
| 2022 | 18,979 | $130K | |
| 2023 | 15,333 | $93K | |
| 2024incomplete | 1,033 | $5K |
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 | 71% | 6,929 | 5,312 | $394K |
| 99199 | Unlisted special service, procedure or report | 14% | 12,407 | 6,450 | $79K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 7.5% | 702 | 616 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 381 | 301 | $15K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.7% | 76 | 52 | $9K |
| 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% | 28 | 24 | $3K |
| 99490 | Ccm add 20min | <1% | 311 | 273 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,081 | 890 | $2K |
| 99070 | <1% | 213 | 128 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 154 | 120 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 144 | 83 | $1K |
| 99406 | <1% | 99 | 61 | $842.80 |
42 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 75 | $551.96 |
| 96127 | <1% | 153 | $443.68 | |
| 90688 | <1% | 82 | $343.35 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 22 | $286.30 |
| 80061 | Lipid panel | <1% | 12 | $132.24 |
| 90715 | <1% | 28 | $125.60 | |
| 90686 | <1% | 34 | $88.70 | |
| 81003 | <1% | 78 | $83.10 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 16 | $38.43 |
| 3008F | <1% | 10,017 | $0.54 | |
| 1160F | <1% | 10,059 | $0.51 | |
| 1159F | <1% | 8,517 | $0.50 | |
| 3074F | <1% | 3,756 | $0.36 | |
| 3078F | <1% | 3,222 | $0.30 | |
| 1125F | <1% | 2,265 | $0.12 | |
| 3079F | <1% | 1,079 | $0.06 | |
| 4010F | <1% | 569 | $0.03 | |
| 3075F | <1% | 395 | $0.01 | |
| 1126F | <1% | 89 | $0.01 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 960 | $0.01 |
| 1000F | 0% | 3,110 | $0.00 | |
| 1036F | 0% | 916 | $0.00 | |
| 1034F | 0% | 890 | $0.00 | |
| 90733 | 0% | 27 | $0.00 | |
| 1031F | 0% | 127 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 202 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 31 | $0.00 |
| 94760 | 0% | 51 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 97 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 49 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $0.00 |
| 1032F | 0% | 773 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 19 | $0.00 |
| 1033F | 0% | 1,061 | $0.00 | |
| 3077F | 0% | 80 | $0.00 | |
| 98960 | 0% | 113 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 158 | $0.00 |
| 3725F | 0% | 405 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 335 | $0.00 |
| 4013F | 0% | 17 | $0.00 | |
| G9509 | Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5 | 0% | 39 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Raleigh Durham Medical Group, PA | Clayton, NC | $3.74M |
| RDMG Associates, PA | Spindale, NC | $1.88M |
| RDMG Associates PA | Roxboro, NC | $1.46M |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $918K |
| Raleigh Durham Medical Group PA | Durham, NC | $756K |
| Raleigh Durham Medical Group, PA | Durham, NC | $748K |
| Raleigh Durham Medical Group PA | Cary, NC | $577K |
| RDMG Associates PA | Shallotte, NC | $432K |
| RDMG Associates PA | Black Mountain, NC | $349K |
| Raleigh Durham Medical Group, PA | Raleigh, NC | $331K |
| RDMG Associates, PA | Fayetteville, NC | $306K |
| RDMG Associates PA | Smithfield, NC | $234K |
| RDMG Associates, PA | Asheville, NC | $179K |
| RDMG Associates, PA | Raleigh, NC | $103K |
| RDMG Associates PA | Asheville, NC | $78K |
| RDMG Associates, PA | Wilmington, NC | $55K |
| RDMG Associates PA | Asheville, NC | $51K |
| RDMG Associates, PA | Morehead City, NC | $20K |
| RDMG Associates PA | Wilmington, NC | $13K |
| Raleigh Durham Medical Group PA | Cary, NC | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.