Physician
Atlantic Medical Group
Atlantic Medical Group was paid $964K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 45380, Colonoscopy, flexible; with biopsy, single or multiple — 21% of everything it billed.
33Billing provider infoATLANTIC MEDICAL GROUP
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
33aNPI1962728394assigned 04/09/2010
33bProvider typeGastroenterology Physician
28Total paid$964K
24GClaims20,143
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gastroenterology Physician providers in North Carolina
Rank by total paid#4 of 64
Median peer was paid$44K
This provider vs. median22×
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 | 3,512 | $176K | |
| 2019 | 2,870 | $160K | |
| 2020 | 1,694 | $106K | |
| 2021 | 6,246 | $142K | |
| 2022 | 1,711 | $66K | |
| 2023 | 1,913 | $121K | |
| 2024incomplete | 2,197 | $193K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 21% | 1,648 | 1,365 | $199K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 17% | 2,029 | 1,703 | $165K |
| 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 | 15% | 1,978 | 1,639 | $144K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 10% | 1,414 | 1,007 | $101K |
| 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 | 10% | 2,641 | 2,022 | $100K |
| 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% | 3,923 | 3,265 | $90K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 4.3% | 260 | 243 | $42K |
| 99199 | Unlisted special service, procedure or report | 3.8% | 4,710 | 4,710 | $36K |
| 46221 | 3.1% | 319 | 220 | $30K | |
| 88312 | 1.3% | 114 | 108 | $13K | |
| 88313 | 1.1% | 83 | 77 | $11K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 281 | 246 | $8K |
7 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 141 | $6K |
| 43249 | <1% | 75 | $6K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 137 | $5K |
| 00731 | <1% | 124 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 100 | $2K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 18 | $2K |
| 43235 | <1% | 148 | $1K |
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 officialIBEGBU, IKECHUKWU (OWNER/PROVIDER)
| Provider | Location | Paid |
|---|---|---|
| Atlantic Medical Group | Kinston, NC | $34K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.