Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PHYSICIANS ELDERCARE PA

NPI: 1023083268 · DURHAM, NC 27713 · General Practice Physician · NPI assigned 02/21/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more

$2.57M
Total Medicaid Paid
146,137
Total Claims
98,492
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWARD, NICOLE (SR VP OF ADMINISTRATIVE SERVICES)
NPI Enumeration Date02/21/2006

Related Entities

Other providers sharing the same authorized official: HOWARD, NICOLE

ProviderCityStateTotal Paid
CURANA HEALTH OF SOUTH CAROLINA PC NORTH CHARLESTON SC $6.39M
CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA $4.87M
CURANA HEALTH OF MASSACHUSETTS LLC SPRINGFIELD MA $2.59M
CURANA HEALTH OF MISSOURI-KANSAS LLC LEES SUMMIT MO $1.45M
CURANA HEALTH OF MISSISSIPPI LLC FLOWOOD MS $1.35M
KENTWOOD FAMILY CLINIC LLC KENTWOOD LA $1.19M
CURANA HEALTH MEDICAL GROUP LLC AUSTIN TX $778K
CURANA HEALTH OF NEW MEXICO LLC ESPANOLA NM $771K
CURANA HEALTH OF NORTH CAROLINA PLLC DURHAM NC $740K
CURANA HEALTH OF NEVADA PLLC RENO NV $696K
CURANA HEALTH OF ARKANSAS LLC BENTONVILLE AR $522K
CURANA HEALTH OF IOWA PLLC OSCEOLA IA $425K
CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN $318K
CURANA HEALTH OF ALABAMA LLC BIRMINGHAM AL $185K
CURANA HEALTH OF INDIANA LLC CORYDON IN $176K
CH SPECIALTY SERVICES NV REQUEIJO PC CARSON CITY NV $125K
CH SPECIALTY SERVICES TX PLLC AUSTIN TX $101K
CH SPECIALTY SERVICES MO LLC LEES SUMMIT MO $93K
CURANA HEALTH OF WEST VIRGINIA LLC MARTINSBURG WV $88K
CH SPECIALTY SERVICES MA PC SPRINGFIELD MA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 23,078 $356K
2019 24,902 $548K
2020 24,670 $602K
2021 22,193 $511K
2022 27,537 $446K
2023 5,213 $25K
2024 18,544 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 83,091 52,144 $1.79M
99308 Subsequent nursing facility care, per day, straightforward 28,489 19,293 $470K
99199 Unlisted special service, procedure or report 27,738 22,058 $124K
99306 Prolong nursin fac eval 15m 1,302 1,040 $74K
99310 Prolong nursin fac eval 15m 1,860 1,334 $67K
99335 730 430 $17K
99307 970 593 $9K
99305 270 237 $8K
99490 Ccm add 20min 1,194 1,012 $6K
99336 186 147 $5K
99334 127 89 $2K
99497 88 60 $428.33
99487 Ccm add 20min 23 17 $180.00
G8754 Most recent diastolic blood pressure < 90 mmhg 17 12 $0.00
G0008 Administration of influenza virus vaccine 26 13 $0.00
90630 26 13 $0.00