Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wilkes Radiology, PA

Wilkes Radiology, PA was paid $57K by Medicaid between Jan 2018 and Oct 2019, across 17 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 32% of everything it billed.

33Billing provider infoWILKES RADIOLOGY, PA
JEFFERSON, NC 28640
33aNPI1932182565assigned 11/29/2005
28Total paid$57K
24GClaims4,892
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Diagnostic Radiology Physician providers in North Carolina

Rank by total paid#34 of 108
Median peer was paid$10K
This provider vs. median5.7×

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$2.0K$4.0K2018201920202021202220232024
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
20182,922$33K
20191,970$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 32% 490 456 $19K
74176 Computed tomography, abdomen and pelvis; without contrast material 21% 373 354 $12K
70450 Computed tomography, head or brain; without contrast material 20% 726 670 $11K
71046 Radiologic examination, chest; 2 views 12% 1,666 1,454 $7K
71045 Radiologic examination, chest; single view 4.1% 768 614 $2K
72125 Computed tomography, cervical spine; without contrast material 2.9% 77 70 $2K
73564 1.4% 150 124 $789.08
73630 1.3% 152 126 $766.42
72110 <1% 74 72 $537.31
73610 <1% 120 104 $533.97
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 13 12 $442.53
73130 <1% 80 66 $353.03
5 more codes
73030 <1% 74 $274.94
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 16 $215.57
73502 <1% 56 $201.88
74018 <1% 28 $170.04
73110 <1% 29 $121.01

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 officialFACTOR, DAVID (PRESIDENT)