Physician
Modern Medical Group PLLC
Modern Medical Group PLLC was paid $418K by Medicaid between Sep 2019 and Jul 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoMODERN MEDICAL GROUP PLLC
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1861051591assigned 06/06/2019
33bProvider typeInternal Medicine Physician
28Total paid$418K
24GClaims26,633
24DCodes billed13
24AFirst – last monthSep 2019 – Jul 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#157 of 616
Median peer was paid$74K
This provider vs. median5.6×
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 | |
|---|---|---|---|
| 2019 | 734 | $25K | |
| 2020 | 2,446 | $119K | |
| 2021 | 4,388 | $112K | |
| 2022 | 7,332 | $93K | |
| 2023 | 6,656 | $38K | |
| 2024incomplete | 5,077 | $32K |
Box 24 · Service lines
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 | 61% | 3,378 | 2,333 | $255K |
| 99199 | Unlisted special service, procedure or report | 22% | 18,963 | 16,334 | $92K |
| 80306 | 5.2% | 2,032 | 1,293 | $22K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 166 | 136 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 265 | 215 | $13K |
| 99406 | 3.0% | 1,046 | 701 | $13K | |
| 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% | 13 | 12 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 518 | 435 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 52 | 41 | $772.84 |
| 99408 | <1% | 13 | 13 | $359.20 | |
| 81003 | <1% | 144 | 123 | $275.83 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 20 | 15 | $169.56 |
1 more codes
| 99000 | 0% | 23 | $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 officialCINTRON-CUBERO, IVETTE (OWNER/PRESIDENT)