Medicaid Provider Spending

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

GASTON FAMILY HEALTH SERVICES, INC.

NPI: 1043963564 · LAWNDALE, NC 28090 · Federally Qualified Health Center (FQHC) · NPI assigned 02/03/2022

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

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

$702K
Total Medicaid Paid
42,094
Total Claims
25,548
Beneficiaries
13
Codes Billed
2022-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, SHARMILA (MEDICAL BILLING & CODING SUPERVISOR)
Parent OrganizationGASTON FAMILY HEALTH SERVICES, INC.
NPI Enumeration Date02/03/2022

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. MAIDEN NC $2.01M
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. HICKORY NC $689K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 2,372 $42K
2023 11,458 $209K
2024 28,264 $451K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 5,144 3,768 $466K
99199 Unlisted special service, procedure or report 35,894 20,937 $229K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 107 95 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 31 20 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38 32 $1K
36415 Collection of venous blood by venipuncture 40 21 $92.68
82948 20 13 $27.74
1111F 309 253 $0.00
3074F 126 94 $0.00
3075F 75 59 $0.00
3008F 53 50 $0.00
3078F 240 191 $0.00
3077F 17 15 $0.00