Physician
High Rock Internal Medicine, PA
High Rock Internal Medicine, PA was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoHIGH ROCK INTERNAL MEDICINE, PA
LEXINGTON, NC 27292
LEXINGTON, NC 27292
33aNPI1861675357assigned 12/07/2007
33bProvider typeInternal Medicine Physician
28Total paid$2.01M
24GClaims124,506
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#32 of 616
Median peer was paid$74K
This provider vs. median27×
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 | 7,473 | $160K | |
| 2019 | 8,480 | $358K | |
| 2020 | 5,036 | $193K | |
| 2021 | 18,060 | $271K | |
| 2022 | 20,107 | $302K | |
| 2023 | 27,639 | $320K | |
| 2024incomplete | 37,711 | $409K |
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 | 66% | 32,213 | 21,937 | $1.32M |
| 99199 | Unlisted special service, procedure or report | 18% | 59,340 | 35,544 | $369K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.2% | 2,871 | 2,106 | $124K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 5.7% | 1,146 | 160 | $114K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.9% | 204 | 166 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 424 | 349 | $15K |
| 99490 | Ccm add 20min | <1% | 1,778 | 1,250 | $7K |
| 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% | 49 | 43 | $6K |
| 99401 | <1% | 207 | 164 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 507 | 382 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 119 | 80 | $3K |
| 96160 | <1% | 530 | 483 | $2K |
26 more codes
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 809 | $2K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 78 | $813.80 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 76 | $696.70 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 170 | $606.21 |
| 81002 | <1% | 291 | $343.51 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 35 | $305.17 |
| 99406 | <1% | 45 | $215.05 | |
| 99497 | <1% | 30 | $206.90 | |
| 94010 | <1% | 16 | $188.02 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 44 | $28.80 |
| 3044F | <1% | 295 | $20.00 | |
| 3008F | 0% | 12,799 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 36 | $0.00 |
| 3074F | 0% | 3,531 | $0.00 | |
| 3079F | 0% | 613 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 142 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 95 | $0.00 |
| 3075F | 0% | 336 | $0.00 | |
| 3048F | 0% | 297 | $0.00 | |
| 3078F | 0% | 4,196 | $0.00 | |
| 99499 | 0% | 783 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 16 | $0.00 |
| 3077F | 0% | 98 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 241 | $0.00 |
| 3046F | 0% | 15 | $0.00 | |
| 90756 | 0% | 31 | $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 officialHSIEH, STEPHEN (MD/PRESIDENT/OWNER)