Physician
The Presbyterian Hospital
The Presbyterian Hospital was paid $12K by Medicaid between Jan 2018 and Dec 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoTHE PRESBYTERIAN HOSPITAL
CHARLOTTE, NC 28210
CHARLOTTE, NC 28210
33aNPI1053365817assigned 05/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$12K
24GClaims1,768
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#756 of 960
Median peer was paid$135K
This provider vs. median0.1×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 736 | $5K | |
| 2019 | 407 | $6K | |
| 2021 | 62 | $400.00 | |
| 2022 | 453 | $1K | |
| 2023 | 110 | $275.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 85% | 361 | 339 | $10K |
| 99199 | Unlisted special service, procedure or report | 15% | 625 | 625 | $2K |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 190 | 184 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 217 | 210 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 12 | 12 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 80 | 76 | $0.00 |
| 1036F | 0% | 101 | 95 | $0.00 | |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 119 | 113 | $0.00 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 31 | 27 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 15 | 15 | $0.00 |
| 1101F | 0% | 17 | 14 | $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.
From NPPES
Who's on the registration
Authorized officialVANCE, AMY (SVP & COO OF PHC)
| Provider | Location | Paid |
|---|---|---|
| The Presbyterian Hospital | Matthews, NC | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.