Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › MAIDEN › GASTON FAMILY HEALTH SERVICES, INC.

GASTON FAMILY HEALTH SERVICES, INC.

NPI: 1033677240 · MAIDEN, NC 28650 · Federally Qualified Health Center (FQHC) · NPI assigned 03/06/2019

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

Authorized official ANDERSON, SHARMILA controls 20+ related entities in our dataset. Read more

$2.01M
Total Medicaid Paid
88,741
Total Claims
53,484
Beneficiaries
19
Codes Billed
2019-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, SHARMILA (BUSINESS SERVICE ADMINISTRATOR)
Parent OrganizationGASTON FAMILY HEALTH SERVICES, INC.
NPI Enumeration Date03/06/2019

Related Entities

Other providers sharing the same authorized official: ANDERSON, SHARMILA

ProviderCityStateTotal Paid
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $9.40M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $5.74M
GASTON FAMILY HEALTH SERVICES, INC. STATESVILLE NC $4.75M
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $3.43M
GASTON FAMILY HEALTH SERVICES, INC. CLAREMONT NC $2.71M
GASTON FAMILY HEALTH SERVICES INC STATESVILLE NC $2.44M
GASTON FAMILY HEALTH SERVICES, INC. LEXINGTON NC $2.38M
GASTON FAMILY HEALTH SERVICES, INC. BESSEMER CITY NC $2.34M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $2.22M
GASTON FAMILY HEALTH SERVICES, INC HICKORY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. SHELBY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. KINGS MOUNTAIN NC $1.65M
GASTON FAMILY HEALTH SERVICES, INC. MOCKSVILLE NC $1.40M
GASTON FAMILY HEALTH SERVICES INC LINCOLNTON NC $1.37M
GASTON FAMILY HEALTH SERVICES, INC. TAYLORSVILLE NC $1.01M
GASTON FAMILY HEALTH SERVICES, INC. WINSTON SALEM NC $848K
GASTON FAMILY HEALTH SERVICES, INC GASTONIA NC $809K
GASTON FAMILY HEALTH SERVICES, INC. NEWTON NC $723K
GASTON FAMILY HEALTH SERVICES, INC. LAWNDALE NC $702K
GASTON FAMILY HEALTH SERVICES, INC. HICKORY NC $689K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,609 $99K
2020 2,028 $201K
2021 7,857 $302K
2022 19,630 $317K
2023 24,221 $412K
2024 33,396 $676K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 12,358 9,615 $1.45M
99199 Unlisted special service, procedure or report 67,284 36,720 $435K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,096 1,706 $55K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,009 2,458 $50K
87428 76 67 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 128 84 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 149 117 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 258 186 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $877.73
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 61 40 $839.98
36415 Collection of venous blood by venipuncture 409 332 $653.54
99051 48 42 $460.10
92551 270 153 $446.78
85025 Blood count; complete (CBC), automated, and automated differential WBC count 38 33 $239.85
99173 272 153 $186.49
96127 105 81 $104.67
90686 49 38 $58.74
99499 108 64 $0.00
99000 2,009 1,581 $0.00