Physician
Medical Plaza Family & Geriatric Physicians, PA
Medical Plaza Family & Geriatric Physicians, PA was paid $1.58M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 50% of everything it billed.
33Billing provider infoMEDICAL PLAZA FAMILY & GERIATRIC PHYSICIANS, PA
CHARLOTTE, NC 28262
CHARLOTTE, NC 28262
33aNPI1851630172assigned 02/06/2013
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$1.58M
24GClaims283,935
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in North Carolina
Rank by total paid#1 of 18
Median peer was paid$29K
This provider vs. median55×
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 | 22,042 | $435K | |
| 2019 | 18,085 | $411K | |
| 2020 | 73,740 | $292K | |
| 2021 | 61,997 | $197K | |
| 2022 | 47,942 | $131K | |
| 2023 | 27,007 | $47K | |
| 2024incomplete | 33,122 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 50% | 38,673 | 18,388 | $796K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 40% | 41,351 | 13,948 | $629K |
| 99306 | Prolong nursin fac eval 15m | 5.5% | 2,609 | 1,715 | $86K |
| 99310 | Prolong nursin fac eval 15m | 1.4% | 761 | 443 | $22K |
| 99307 | 1.2% | 1,818 | 1,017 | $18K | |
| 99199 | Unlisted special service, procedure or report | 1.1% | 5,450 | 5,417 | $17K |
| 99318 | <1% | 143 | 102 | $3K | |
| 99439 | <1% | 743 | 329 | $3K | |
| 99490 | Ccm add 20min | <1% | 938 | 464 | $2K |
| 99316 | <1% | 99 | 63 | $2K | |
| 99496 | <1% | 60 | 26 | $600.59 | |
| 99484 | <1% | 90 | 43 | $334.86 |
24 more codes
| 99491 | Ccm add 20min | <1% | 25 | $42.51 |
| 99441 | <1% | 66 | $33.96 | |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 84 | $20.70 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 45,050 | $1.02 |
| 4040F | 0% | 27,033 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 40,107 | $0.00 |
| 3088F | 0% | 11,864 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 5,335 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,792 | $0.00 |
| 3288F | 0% | 13,171 | $0.00 | |
| 3051F | 0% | 571 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 35 | $0.00 |
| 3046F | 0% | 1,189 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 241 | $0.00 |
| 1124F | 0% | 29 | $0.00 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 17,590 | $0.00 |
| 3044F | 0% | 456 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 112 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 20,266 | $0.00 |
| 1123F | 0% | 5,688 | $0.00 | |
| G9910 | Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period | 0% | 242 | $0.00 |
| 1101F | 0% | 140 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 88 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 26 | $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 officialLONG, WILLIAM (PHYSICIAN/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Assoicates, INC. | Canal Winchester, OH | $14.37M |
| William T Long MD INC a California Professional Medical Corporation | Los Angeles, CA | $2K |
| Upstate Podiatry Group, PA | Simpsonville, SC | $140.84 |
| Crossroads Pharmacy | Newton, NC | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.