East Carolina University

East Carolina University was paid $221K by Medicaid between Feb 2018 and Oct 2024, across 12 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 63% of everything it billed.

33Billing provider infoEAST CAROLINA UNIVERSITY
GREENVILLE, NC 27834

33aNPI1023068392assigned 05/10/2006

33bProvider typeNephrology Physician

28Total paid$221K

24GClaims5,660

24DCodes billed12

24AFirst – last monthFeb 2018 – Oct 2024

Compared with peers

Next to other Nephrology Physician providers in North Carolina

Rank by total paid#18 of 41

Median peer was paid$168K

This provider vs. median1.3×

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	145	$5K
2019	771	$27K
2020	1,360	$47K
2021	507	$23K
2022	1,207	$50K
2023	890	$42K
2024incomplete	780	$27K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	63%	3,451	3,031	$139K
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	26%	1,494	1,348	$56K
90961		7.2%	306	262	$16K
90935	Hemodialysis procedure with single evaluation by a physician	1.9%	141	74	$4K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.3%	98	52	$3K
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	<1%	12	12	$899.95
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	<1%	34	24	$852.80
90962		<1%	19	19	$522.20
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	17	12	$102.88
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%	45	45	$95.97
99199	Unlisted special service, procedure or report	<1%	13	13	$75.00
96127		<1%	30	26	$66.34

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 officialBENSON, NICHOLAS (MEDICAL DIRECTOR)

Same official

Other billing entities under BENSON, NICHOLAS

Full network →

Provider	Location	Paid
Ecu Physical Medicine and Rehabilitation Center	Greenville, NC	$1.30M
East Carolina Universtiy	Greenville, NC	$206K
East Carolina University	Greenville, NC	$6K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.