Physician
Randolph Specialty Group Practice
Randolph Specialty Group Practice was paid $2.10M by Medicaid between Jan 2018 and Oct 2021, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoRANDOLPH SPECIALTY GROUP PRACTICE
ASHEBORO, NC 27203
ASHEBORO, NC 27203
33aNPI1891756946assigned 03/29/2006
33bProvider typeInternal Medicine Physician
28Total paid$2.10M
24GClaims44,405
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Internal Medicine Physician providers in North Carolina
Rank by total paid#31 of 616
Median peer was paid$74K
This provider vs. median28×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CLAUSER, ROBERT controls 11+ related entities in our dataset. Read more
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 | 13,368 | $494K | |
| 2019 | 12,161 | $613K | |
| 2020 | 9,932 | $563K | |
| 2021 | 8,944 | $428K |
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 | 85% | 25,392 | 15,233 | $1.77M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 3,596 | 3,004 | $163K |
| 80305 | 6.4% | 12,007 | 7,170 | $134K | |
| 99199 | Unlisted special service, procedure or report | <1% | 691 | 575 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 590 | 498 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 55 | 47 | $3K |
| 96127 | <1% | 876 | 760 | $2K | |
| 99442 | <1% | 55 | 34 | $2K | |
| 99408 | <1% | 59 | 55 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 164 | 114 | $1K |
| 99406 | <1% | 136 | 112 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 320 | 211 | $1K |
10 more codes
| 90686 | <1% | 105 | $817.12 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 16 | $324.99 |
| 90682 | <1% | 86 | $145.12 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 34 | $62.85 |
| 81002 | <1% | 36 | $60.69 | |
| 3016F | 0% | 31 | $0.00 | |
| 2014F | 0% | 14 | $0.00 | |
| 98960 | 0% | 38 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 68 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 36 | $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 officialCLAUSER, ROBERT (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Randolph Specialty Group Practice | Asheboro, NC | $5.33M |
| American Healthcare Systems, LLC | Asheboro, NC | $540K |
| Randolph Specialty Group Practice | Asheboro, NC | $318K |
| Randolph Specialty Group Practice | Liberty, NC | $284K |
| Randolph Specialty Group Practice | Asheboro, NC | $199K |
| Randolph Specialty Group Practice | Asheboro, NC | $157K |
| Randolph Specialty Group Practice | Asheboro, NC | $112K |
| Randolph Specialty Group Practice | Asheboro, NC | $52K |
| Randolph Specialty Group Practice | Seagrove, NC | $49K |
| American Healthcare Systems LLC | Asheboro, NC | $41K |
| Randolph Specialty Group Practice | Asheboro, NC | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.