Physician
Pinehurst Surgical Clinic PA
Pinehurst Surgical Clinic PA was paid $3.88M by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPINEHURST SURGICAL CLINIC PA
PINEHURST, NC 28374
PINEHURST, NC 28374
33aNPI1962434324assigned 07/07/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$3.88M
24GClaims122,404
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#8 of 189
Median peer was paid$47K
This provider vs. median83×
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 | 14,138 | $381K | |
| 2019 | 15,685 | $470K | |
| 2020 | 13,613 | $400K | |
| 2021 | 16,188 | $521K | |
| 2022 | 21,388 | $647K | |
| 2023 | 23,614 | $832K | |
| 2024incomplete | 17,778 | $626K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 46,453 | 36,958 | $1.64M |
| 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 | 17% | 13,002 | 10,899 | $659K |
| 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 | 7.2% | 2,693 | 2,303 | $279K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.9% | 3,514 | 3,026 | $269K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 3,169 | 2,744 | $184K |
| 76819 | Fetal biophysical profile; without non-stress testing | 3.9% | 2,352 | 1,394 | $150K |
| 76830 | Ultrasound, transvaginal | 2.2% | 1,180 | 977 | $85K |
| 62323 | 2.1% | 1,062 | 949 | $81K | |
| 99205 | Prolong outpt/office vis | 1.5% | 441 | 348 | $57K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 851 | 749 | $36K |
| 20610 | <1% | 1,653 | 1,105 | $31K | |
| 59025 | Fetal non-stress test | <1% | 1,432 | 1,140 | $30K |
71 more codes
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 1,255 | $30K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 432 | $28K |
| 92060 | <1% | 710 | $23K | |
| 81001 | <1% | 11,571 | $18K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 869 | $17K |
| 51798 | <1% | 2,933 | $17K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,064 | $16K |
| 73562 | <1% | 1,494 | $16K | |
| 99243 | <1% | 174 | $16K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 4,269 | $15K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 91 | $13K |
| 73620 | <1% | 1,001 | $13K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 168 | $12K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,355 | $10K |
| 92567 | <1% | 1,024 | $10K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 738 | $10K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 29 | $10K |
| 72110 | <1% | 390 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 439 | $8K |
| 73630 | <1% | 553 | $7K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 31 | $7K |
| 73610 | <1% | 438 | $6K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 57 | $6K |
| 81025 | <1% | 992 | $6K | |
| 87210 | <1% | 1,501 | $5K | |
| 73600 | <1% | 440 | $5K | |
| 73030 | <1% | 465 | $4K | |
| 99219 | <1% | 46 | $4K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 129 | $4K |
| 73120 | <1% | 203 | $3K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 29 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 254 | $3K |
| 99401 | <1% | 88 | $2K | |
| 90674 | <1% | 135 | $2K | |
| 99459 | <1% | 203 | $2K | |
| 99234 | <1% | 17 | $2K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 13 | $2K |
| 73564 | <1% | 79 | $2K | |
| 92511 | <1% | 17 | $1K | |
| 92273 | <1% | 31 | $1K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 12 | $875.52 |
| 73100 | <1% | 51 | $843.96 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 65 | $819.72 |
| 88112 | <1% | 32 | $751.59 | |
| 73502 | <1% | 75 | $674.64 | |
| 97162 | <1% | 12 | $595.94 | |
| 74018 | <1% | 45 | $583.74 | |
| 69210 | <1% | 29 | $481.75 | |
| 82950 | <1% | 91 | $477.27 | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 32 | $436.17 |
| 72100 | <1% | 45 | $417.11 | |
| 97161 | <1% | 13 | $406.47 | |
| 92557 | <1% | 13 | $356.66 | |
| 92015 | Determination of refractive state | <1% | 56 | $351.54 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 58 | $337.81 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 42 | $303.77 |
| 80053 | Comprehensive metabolic panel | <1% | 34 | $270.92 |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 12 | $245.64 |
| 81003 | <1% | 264 | $234.52 | |
| 92134 | <1% | 33 | $221.13 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 38 | $155.34 |
| 80069 | <1% | 15 | $94.56 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,381 | $92.05 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 146 | $77.98 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 12 | $70.85 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 15 | $29.85 |
| 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% | 14 | $18.90 |
| 99000 | 0% | 145 | $0.00 | |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | 0% | 38 | $0.00 |
| 1036F | 0% | 38 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 19 | $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 officialGREGG, CHARLES (CEO)