Gaston Family Health Services, INC.
Gaston Family Health Services, INC. was paid $2.01M by Medicaid between Jul 2019 and Dec 2024, across 19 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 72% of everything it billed.
MAIDEN, NC 28650
Next to other Federally Qualified Health Center (FQHC) 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 | |
|---|---|---|---|
| 2019 | 1,609 | $99K | |
| 2020 | 2,028 | $201K | |
| 2021 | 7,857 | $302K | |
| 2022 | 19,630 | $317K | |
| 2023 | 24,221 | $412K | |
| 2024incomplete | 33,396 | $676K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 72% | 12,358 | 9,615 | $1.45M |
| 99199 | Unlisted special service, procedure or report | 22% | 67,284 | 36,720 | $435K |
| 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 | 2.7% | 2,096 | 1,706 | $55K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 3,009 | 2,458 | $50K |
| 87428 | <1% | 76 | 67 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 128 | 84 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 149 | 117 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 258 | 186 | $1K |
| 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% | 14 | 14 | $877.73 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 61 | 40 | $839.98 |
| 36415 | Collection of venous blood by venipuncture | <1% | 409 | 332 | $653.54 |
| 99051 | <1% | 48 | 42 | $460.10 |
7 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.