Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Wilmington Health PLLC

Wilmington Health PLLC was paid $6.85M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoWILMINGTON HEALTH PLLC
WILMINGTON, NC 28401
33aNPI1881632339assigned 06/04/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$6.85M
24GClaims556,805
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in North Carolina

Rank by total paid#7 of 69
Median peer was paid$333K
This provider vs. median21×

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

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
201818,320$747K
201923,008$843K
202015,767$596K
202175,234$1.08M
2022118,073$1.16M
2023138,076$1.19M
2024incomplete168,327$1.23M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 47% 60,791 52,738 $3.24M
99199 Unlisted special service, procedure or report 21% 414,256 371,538 $1.43M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.3% 14,190 11,903 $640K
99242 2.9% 2,954 2,701 $196K
87428 2.6% 3,459 2,653 $180K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.7% 1,168 418 $117K
99051 1.6% 4,923 4,093 $111K
99243 1.5% 1,168 1,076 $104K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.3% 1,746 1,573 $89K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.0% 4,238 3,478 $70K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 2,456 2,005 $64K
99244 Office or other outpatient consultation, moderate to high complexity <1% 424 375 $57K
92 more codes
99223 Prolong inpt eval add15 m <1% 737 $52K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 1,228 $51K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 870 $47K
17110 <1% 742 $45K
99204 Doctor's office visit, new patient (more involved) <1% 590 $43K
99232 Hospital visit by a doctor, follow-up day <1% 1,212 $35K
92567 <1% 1,712 $20K
99203 Doctor's office visit, new patient (routine) <1% 401 $18K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,359 $18K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 115 $17K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 93 $16K
90472 Immunization administration, each additional vaccine (list separately) <1% 480 $13K
0002A <1% 164 $10K
93296 <1% 761 $8K
93000 <1% 1,213 $8K
0001A <1% 202 $8K
92557 <1% 259 $8K
0071A <1% 168 $8K
11721 <1% 1,088 $8K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 61 $7K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 71 $7K
80076 <1% 681 $6K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 12 $6K
92579 <1% 181 $6K
36415 Collection of venous blood by venipuncture <1% 2,349 $6K
80061 Lipid panel <1% 309 $5K
71046 Radiologic examination, chest; 2 views <1% 434 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 201 $4K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 64 $4K
97803 <1% 124 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 33 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 66 $4K
73630 <1% 295 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 38 $3K
80053 Comprehensive metabolic panel <1% 371 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 41 $3K
84443 Thyroid stimulating hormone (TSH) <1% 176 $3K
90686 <1% 1,846 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 227 $3K
86140 <1% 559 $3K
0072A <1% 42 $2K
99205 Prolong outpt/office vis <1% 16 $2K
93295 <1% 94 $2K
85652 <1% 568 $2K
84439 <1% 161 $2K
0003A <1% 39 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 183 $1K
20610 <1% 63 $1K
93297 <1% 126 $1K
71250 <1% 14 $1K
93971 <1% 35 $945.93
94060 <1% 40 $896.85
95251 <1% 63 $875.30
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 253 $843.47
93922 <1% 30 $708.30
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% 236 $701.33
97802 <1% 19 $695.58
99241 <1% 22 $613.55
94729 <1% 43 $598.70
94726 <1% 27 $417.70
93299 <1% 64 $411.42
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 84 $399.61
93970 <1% 16 $370.88
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 44 $357.00
95886 <1% 69 $347.69
95816 <1% 14 $336.68
11056 <1% 67 $322.02
80048 Basic metabolic panel (calcium, ionized) <1% 31 $276.64
90460 Immunization administration through 18 years of age via any route, first or only component <1% 17 $245.40
73610 <1% 19 $236.20
74018 <1% 15 $233.05
83655 <1% 15 $179.16
93298 <1% 25 $169.94
87807 <1% 14 $155.43
83036 Hemoglobin; glycosylated (A1C) <1% 12 $143.64
93294 <1% 13 $134.16
92551 <1% 71 $95.22
J1030 Injection, methylprednisolone acetate, 40 mg <1% 32 $92.54
81025 <1% 14 $90.09
99173 <1% 149 $81.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 19 $79.69
99406 <1% 15 $59.00
93018 <1% 12 $53.52
J1020 Injection, methylprednisolone acetate, 20 mg <1% 33 $39.35
J1010 Injection, methylprednisolone acetate, 1 mg <1% 13 $36.05
91300 <1% 489 $11.55
3074F <1% 12,093 $7.44
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 32 $3.32
3078F 0% 7,767 $0.00
3044F 0% 43 $0.00
91307 0% 99 $0.00
3079F 0% 25 $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 officialKEARNS, PAMELA (CFO)