Clinic
Phycinity PLLC
Phycinity PLLC was paid $1.57M by Medicaid between Jun 2021 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoPHYCINITY PLLC
CAMERON, NC 28326
CAMERON, NC 28326
33aNPI1972040848assigned 01/30/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.57M
24GClaims118,246
24DCodes billed26
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in North Carolina
Rank by total paid#16 of 56
Median peer was paid$409K
This provider vs. median3.8×
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 | |
|---|---|---|---|
| 2021 | 9,953 | $246K | |
| 2022 | 24,637 | $415K | |
| 2023 | 32,258 | $399K | |
| 2024incomplete | 51,398 | $511K |
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 | 39% | 8,517 | 5,955 | $612K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 7,294 | 5,164 | $363K |
| 99199 | Unlisted special service, procedure or report | 13% | 80,923 | 79,619 | $209K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.5% | 1,116 | 847 | $86K |
| 87428 | 3.9% | 1,344 | 834 | $61K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 683 | 526 | $55K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 1,136 | 920 | $33K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 3,084 | 2,544 | $27K |
| 87400 | 1.2% | 1,000 | 755 | $18K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 228 | 164 | $17K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 678 | 493 | $14K |
| 87430 | <1% | 1,387 | 1,080 | $13K |
14 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 141 | $12K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 88 | $11K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 962 | $11K |
| 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% | 4,133 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 88 | $6K |
| 92551 | <1% | 1,709 | $3K | |
| 99381 | <1% | 46 | $3K | |
| 87807 | <1% | 271 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 501 | $975.53 |
| 99173 | <1% | 1,027 | $711.65 | |
| 87420 | <1% | 44 | $468.08 | |
| 81003 | <1% | 58 | $102.10 | |
| 99174 | <1% | 1,761 | $6.38 | |
| 36416 | <1% | 27 | $3.16 |
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 officialCABAN, OMAR (CMO)