Physician
Spectrum Medical Care, INC.
Spectrum Medical Care, INC. was paid $1.97M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoSPECTRUM MEDICAL CARE, INC.
RALEIGH, NC 27609
RALEIGH, NC 27609
33aNPI1861794851assigned 11/23/2010
33bProvider typeInternal Medicine Physician
28Total paid$1.97M
24GClaims113,390
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#34 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 | 11,328 | $275K | |
| 2019 | 8,636 | $236K | |
| 2020 | 6,428 | $215K | |
| 2021 | 13,863 | $258K | |
| 2022 | 20,726 | $305K | |
| 2023 | 22,394 | $308K | |
| 2024incomplete | 30,015 | $373K |
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 | 55% | 17,515 | 12,626 | $1.09M |
| 99199 | Unlisted special service, procedure or report | 17% | 54,366 | 32,193 | $329K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 5,832 | 4,541 | $297K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 3,915 | 2,495 | $43K |
| 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 | 1.8% | 331 | 282 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 348 | 216 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.1% | 2,451 | 1,592 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 275 | 181 | $18K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 518 | 355 | $14K |
| 81002 | <1% | 6,066 | 4,582 | $11K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,145 | 5,349 | $11K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 244 | 205 | $10K |
41 more codes
| 93000 | <1% | 1,021 | $9K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 120 | $8K |
| 82962 | <1% | 5,353 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 448 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 52 | $5K |
| 90688 | <1% | 1,074 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 173 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 377 | $4K |
| 90756 | <1% | 402 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 255 | $3K |
| 0053A | <1% | 40 | $2K | |
| 0003A | <1% | 60 | $2K | |
| 81025 | <1% | 328 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 23 | $1K |
| 0001A | <1% | 48 | $1K | |
| 90686 | <1% | 1,318 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 23 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 53 | $1K |
| 90734 | <1% | 15 | $762.20 | |
| 86328 | <1% | 13 | $542.76 | |
| 90658 | <1% | 128 | $229.47 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 35 | $203.49 |
| 0054A | <1% | 19 | $195.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 226 | $144.32 |
| 82043 | <1% | 19 | $53.84 | |
| 82570 | <1% | 14 | $38.92 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 115 | $22.72 |
| 91300 | <1% | 362 | $0.01 | |
| 90662 | 0% | 32 | $0.00 | |
| 3077F | 0% | 461 | $0.00 | |
| 3078F | 0% | 363 | $0.00 | |
| 99072 | 0% | 111 | $0.00 | |
| 90649 | 0% | 82 | $0.00 | |
| 3074F | 0% | 232 | $0.00 | |
| 3079F | 0% | 239 | $0.00 | |
| 99000 | 0% | 56 | $0.00 | |
| 3075F | 0% | 127 | $0.00 | |
| 3080F | 0% | 188 | $0.00 | |
| 3044F | 0% | 151 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 205 | $0.00 |
| 91305 | 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 officialLAHOUD, CHAWKI (OWNER)