Purcell Clinic, PA
Purcell Clinic, PA was paid $22.36M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoPURCELL CLINIC, PA
LAURINBURG, NC 28352
LAURINBURG, NC 28352
33aNPI1912995630assigned 10/06/2005
33bProvider typeSpecialist
28Total paid$22.36M
24GClaims1,091,169
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#3 of 172
Median peer was paid$83K
This provider vs. median271×
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 | 98,716 | $2.14M | |
| 2019 | 102,483 | $2.80M | |
| 2020 | 67,325 | $2.36M | |
| 2021 | 150,846 | $3.39M | |
| 2022 | 251,763 | $4.59M | |
| 2023 | 219,870 | $4.02M | |
| 2024incomplete | 200,166 | $3.07M |
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 | 25% | 72,391 | 55,413 | $5.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 75,624 | 54,532 | $3.78M |
| 99199 | Unlisted special service, procedure or report | 13% | 483,963 | 286,747 | $2.91M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 22,981 | 16,474 | $1.61M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 20,559 | 15,350 | $1.50M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 14,477 | 11,301 | $1.11M |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.2% | 30,795 | 22,278 | $929K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 8,919 | 6,628 | $718K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.9% | 42,338 | 30,627 | $658K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 2.1% | 4,284 | 2,985 | $474K |
| D0145 | Oral evaluation for a patient under three years of age | 2.0% | 14,136 | 11,318 | $436K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 30,790 | 22,811 | $238K |
77 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 8,894 | $235K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 19,480 | $210K |
| D1206 | Topical application of fluoride varnish | <1% | 14,264 | $193K |
| 99401 | <1% | 8,282 | $193K | |
| 99460 | <1% | 2,305 | $154K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,361 | $150K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 20,095 | $148K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12,682 | $138K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,669 | $135K |
| 87428 | <1% | 2,342 | $134K | |
| 99051 | <1% | 5,521 | $120K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 958 | $50K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,500 | $42K |
| 90474 | <1% | 2,811 | $40K | |
| 83655 | <1% | 3,490 | $38K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,416 | $32K |
| 90651 | <1% | 3,929 | $29K | |
| 92551 | <1% | 24,675 | $27K | |
| 87081 | <1% | 4,161 | $24K | |
| 99462 | <1% | 776 | $22K | |
| 99173 | <1% | 33,547 | $18K | |
| 96161 | <1% | 6,406 | $18K | |
| 87807 | <1% | 1,767 | $18K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,070 | $18K |
| 96127 | <1% | 4,383 | $17K | |
| 99050 | <1% | 873 | $16K | |
| 99441 | <1% | 495 | $12K | |
| 99381 | <1% | 111 | $10K | |
| 90670 | <1% | 15,802 | $10K | |
| 90734 | <1% | 2,365 | $10K | |
| 88720 | <1% | 1,852 | $9K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 793 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 246 | $8K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 192 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 540 | $6K |
| 81001 | <1% | 2,098 | $6K | |
| 54160 | <1% | 58 | $5K | |
| 0071A | <1% | 144 | $5K | |
| 0072A | <1% | 93 | $4K | |
| 99463 | <1% | 43 | $4K | |
| 90620 | <1% | 447 | $4K | |
| 90633 | <1% | 8,008 | $3K | |
| 90723 | <1% | 13,003 | $2K | |
| 54150 | <1% | 14 | $2K | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 907 | $2K |
| 0002A | <1% | 41 | $2K | |
| 0001A | <1% | 65 | $2K | |
| 81003 | <1% | 908 | $2K | |
| 99442 | <1% | 53 | $1K | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 821 | $1K |
| 90686 | <1% | 2,925 | $1K | |
| 90710 | <1% | 1,940 | $1K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 60 | $1K |
| 90715 | <1% | 581 | $559.80 | |
| 81025 | <1% | 88 | $501.63 | |
| 2014F | <1% | 26 | $280.00 | |
| 96380 | <1% | 16 | $274.18 | |
| 90681 | <1% | 6,010 | $273.40 | |
| 90707 | <1% | 465 | $240.02 | |
| 90473 | <1% | 12 | $225.10 | |
| 96160 | <1% | 327 | $177.93 | |
| 90716 | <1% | 209 | $160.02 | |
| 90696 | <1% | 712 | $113.87 | |
| 90647 | <1% | 12,872 | $87.58 | |
| 82962 | <1% | 24 | $68.44 | |
| 90656 | <1% | 513 | $60.78 | |
| 94760 | <1% | 494 | $19.92 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 120 | $8.53 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 148 | $5.35 |
| 90677 | <1% | 1,471 | $3.26 | |
| J7510 | Prednisolone oral, per 5 mg | <1% | 15 | $0.48 |
| 90660 | <1% | 47 | $0.18 | |
| 90697 | <1% | 56 | $0.01 | |
| 90700 | 0% | 613 | $0.00 | |
| 99072 | 0% | 164 | $0.00 | |
| 90688 | 0% | 1,127 | $0.00 | |
| 99000 | 0% | 121 | $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 officialWALSH, SUSAN (PRACTICE MANAGER)