Physician
Moses Cone Physician Services, INC
Moses Cone Physician Services, INC was paid $4.39M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 25% of everything it billed.
33Billing provider infoMOSES CONE PHYSICIAN SERVICES, INC
REIDSVILLE, NC 27320
REIDSVILLE, NC 27320
33aNPI1073881850assigned 12/07/2011
33bProvider typePediatrics Physician
28Total paid$4.39M
24GClaims279,086
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#90 of 433
Median peer was paid$942K
This provider vs. median4.7×
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.
Entity ProliferationAuthorized official HAMMOND, SALLY controls 20+ related entities in our dataset. Read more
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 | 15,741 | $352K | |
| 2019 | 14,043 | $497K | |
| 2020 | 13,450 | $447K | |
| 2021 | 41,752 | $689K | |
| 2022 | 65,172 | $791K | |
| 2023 | 66,013 | $817K | |
| 2024incomplete | 62,915 | $796K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 25% | 180,543 | 89,038 | $1.08M |
| 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% | 15,165 | 13,519 | $960K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.0% | 4,166 | 3,898 | $396K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.7% | 4,289 | 3,743 | $380K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 2,800 | 2,675 | $266K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.5% | 12,381 | 11,379 | $240K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.5% | 6,946 | 6,404 | $198K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 1,718 | 1,636 | $180K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.8% | 1,728 | 1,366 | $121K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.7% | 3,030 | 2,803 | $118K |
| 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 | 1.9% | 879 | 798 | $82K |
| 87428 | 1.4% | 1,027 | 981 | $62K |
49 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 5,441 | $54K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 838 | $31K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 812 | $28K |
| 90474 | <1% | 1,404 | $28K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,353 | $27K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,417 | $24K |
| 96127 | <1% | 5,524 | $23K | |
| 99441 | <1% | 687 | $21K | |
| D1206 | Topical application of fluoride varnish | <1% | 811 | $12K |
| 90651 | <1% | 418 | $8K | |
| 90837 | Psychotherapy session, about an hour | <1% | 69 | $7K |
| 83655 | <1% | 507 | $6K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 131 | $5K |
| 87807 | <1% | 364 | $5K | |
| 99381 | <1% | 34 | $4K | |
| 96161 | <1% | 791 | $3K | |
| 90686 | <1% | 3,553 | $3K | |
| 99051 | <1% | 99 | $2K | |
| 85018 | <1% | 1,580 | $2K | |
| 99173 | <1% | 3,274 | $2K | |
| 90734 | <1% | 91 | $2K | |
| 0072A | <1% | 26 | $2K | |
| 99383 | <1% | 13 | $2K | |
| 0001A | <1% | 28 | $2K | |
| 92551 | <1% | 2,716 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 136 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 18 | $980.61 |
| 90620 | <1% | 35 | $632.08 | |
| 90633 | <1% | 1,238 | $567.92 | |
| 90619 | <1% | 125 | $309.81 | |
| 90697 | <1% | 537 | $307.77 | |
| 90670 | <1% | 2,788 | $190.49 | |
| 90715 | <1% | 57 | $125.43 | |
| 81002 | <1% | 39 | $114.55 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 105 | $26.89 |
| 90656 | <1% | 278 | $19.83 | |
| 91307 | <1% | 61 | $11.02 | |
| 94760 | <1% | 39 | $2.08 | |
| 90677 | <1% | 416 | $0.44 | |
| 90698 | <1% | 1,831 | $0.27 | |
| 90680 | <1% | 1,443 | $0.04 | |
| 3078F | 0% | 319 | $0.00 | |
| 90707 | 0% | 30 | $0.00 | |
| 90685 | 0% | 48 | $0.00 | |
| 90710 | 0% | 16 | $0.00 | |
| 90744 | 0% | 479 | $0.00 | |
| 90696 | 0% | 29 | $0.00 | |
| 90716 | 0% | 47 | $0.00 | |
| 3074F | 0% | 319 | $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 officialHAMMOND, SALLY (EXECUTIVE DIRECTOR, OPERATIONS)
Parent organizationTHE MOSES H. CONE MEMORIAL HOSPITAL
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.