Psychological Medicine Clinic PLLC
Psychological Medicine Clinic PLLC was paid $743K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 86% of everything it billed.
33Billing provider infoPSYCHOLOGICAL MEDICINE CLINIC PLLC
WILSON, NC 27893
WILSON, NC 27893
33aNPI1972644219assigned 02/09/2007
33bProvider typeSpecialist
28Total paid$743K
24GClaims32,941
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#43 of 172
Median peer was paid$83K
This provider vs. median9.0×
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 | 7,771 | $113K | |
| 2019 | 6,048 | $110K | |
| 2020 | 5,263 | $110K | |
| 2021 | 4,265 | $125K | |
| 2022 | 3,468 | $98K | |
| 2023 | 3,465 | $78K | |
| 2024incomplete | 2,661 | $109K |
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 | 86% | 13,742 | 10,297 | $640K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,707 | 2,183 | $91K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 101 | 77 | $6K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 67 | 56 | $5K |
| 4004F | 0% | 516 | 484 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,127 | 2,989 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,887 | 1,796 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,505 | 2,399 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 264 | 242 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 1,620 | 1,535 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 866 | 840 | $0.00 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 3,087 | 2,950 | $0.00 |
3 more codes
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 officialVERMA, KRISHNA (MD - PSYCHIATRIST)