East Carolina University
East Carolina University was paid $2.92M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 42% of everything it billed.
GREENVILLE, NC 27834
Next to other Adult Medicine Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,135 | $171K | |
| 2019 | 7,437 | $231K | |
| 2020 | 6,771 | $220K | |
| 2021 | 15,536 | $359K | |
| 2022 | 41,787 | $547K | |
| 2023 | 61,983 | $786K | |
| 2024incomplete | 73,263 | $606K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 42% | 164,442 | 67,074 | $1.21M |
| 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 | 22% | 8,708 | 7,209 | $642K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 11,735 | 10,120 | $635K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.1% | 7,473 | 6,091 | $120K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 2.6% | 328 | 288 | $76K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.7% | 1,692 | 1,365 | $48K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 329 | 282 | $31K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 367 | 310 | $29K |
| 90686 | <1% | 3,907 | 3,341 | $17K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 327 | 293 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 145 | 121 | $13K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 217 | 188 | $12K |
30 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 4,684 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 88 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 66 | $7K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,746 | $6K |
| 90620 | <1% | 65 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 426 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 521 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 268 | $5K |
| 96127 | <1% | 1,017 | $3K | |
| 99442 | <1% | 108 | $3K | |
| 81025 | <1% | 287 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 18 | $1K |
| 99441 | <1% | 63 | $1K | |
| 0124A | <1% | 16 | $1K | |
| 90480 | <1% | 24 | $970.96 | |
| 0051A | <1% | 16 | $844.00 | |
| 92552 | <1% | 1,821 | $572.79 | |
| 82962 | <1% | 218 | $512.47 | |
| 96160 | <1% | 171 | $457.50 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 30 | $339.12 |
| 90670 | <1% | 163 | $217.66 | |
| 81002 | <1% | 67 | $167.15 | |
| 99173 | <1% | 2,078 | $95.43 | |
| 90688 | <1% | 117 | $16.35 | |
| 90647 | 0% | 13 | $0.00 | |
| 91305 | 0% | 49 | $0.00 | |
| 90651 | 0% | 21 | $0.00 | |
| 91300 | 0% | 45 | $0.00 | |
| 91312 | 0% | 17 | $0.00 | |
| 90685 | 0% | 19 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| East Carolina University | Greenville, NC | $53.81M |
| East Carolina University | Greenville, NC | $22.55M |
| East Carolina University | Greenville, NC | $12.27M |
| East Carolina University | Greenville, NC | $9.32M |
| East Carolina University | Greenville, NC | $4.07M |
| Ecu Medicine Neurology Services | Greenville, NC | $2.18M |
| East Carolina University | Greenville, NC | $1.95M |
| Ecu Medicine Neurology Mri | Greenville, NC | $1.45M |
| East Carolina University | Greenville, NC | $877K |
| East Carolina University | Winterville, NC | $258K |
| East Carolina University | Greenville, NC | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.