Newton Family Physicians, P.A.

Newton Family Physicians, P.A. was paid $2.06M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.

33Billing provider infoNEWTON FAMILY PHYSICIANS, P.A.
NEWTON, NC 28658

33aNPI1861451437assigned 03/21/2006

33bProvider typeFamily Medicine Physician

28Total paid$2.06M

24GClaims160,435

24DCodes billed29

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#59 of 960

Median peer was paid$135K

This provider vs. median15×

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	11,390	$204K
2019	11,463	$254K
2020	7,456	$186K
2021	17,259	$300K
2022	33,878	$365K
2023	34,479	$345K
2024incomplete	44,510	$409K

Box 24 · Service lines

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	59%	22,257	18,834	$1.23M
99199	Unlisted special service, procedure or report	27%	94,526	53,743	$551K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	3.5%	1,602	1,315	$72K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.2%	3,518	1,532	$45K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.5%	1,726	1,526	$32K
87428		1.5%	571	544	$31K
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	1.4%	356	322	$29K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	229	208	$17K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	1,190	1,086	$15K
90472	Immunization administration, each additional vaccine (list separately)	<1%	337	314	$11K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	114	103	$11K
D0145	Oral evaluation for a patient under three years of age	<1%	145	141	$4K

17 more codes

99051		<1%	184	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	50	$4K
97802		<1%	21,669	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	328	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	27	$2K
87807		<1%	153	$2K
D1206	Topical application of fluoride varnish	<1%	92	$1K
90686		<1%	249	$884.82
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	88	$653.90
99173		<1%	633	$97.89
3078F		0%	3,776	$0.00
1160F		0%	432	$0.00
90670		0%	42	$0.00
3074F		0%	5,952	$0.00
3079F		0%	137	$0.00
99000		0%	23	$0.00
92551		0%	29	$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 officialWHITE, MELISSA (PRACTICE ADMINISTRATOR)