GOSHEN MEDICAL CENTER INCORPORATED

NPI: 1083739429 · GOLDSBORO, NC 27530 · Federally Qualified Health Center (FQHC) · NPI assigned 03/21/2007

$43K

Total Medicaid Paid

1,225

Total Claims

1,027

Beneficiaries

Codes Billed

2018-01

First Month

2018-10

Last Month

Provider Details

Authorized Official	FUTRELL, REBA (EXECUTIVE ASSISTANT CREDENTIALING)
NPI Enumeration Date	03/21/2007

Other providers sharing the same authorized official: FUTRELL, REBA

Provider	City	State	Total Paid
GOSHEN MEDICAL CENTER INCORPORATED	WALLACE	NC	$2.97M
GOSHEN MEDICAL CENTER INCORPORATED	GOLDSBORO	NC	$2.69M
GOSHEN MEDICAL CENTER INCORPORATED	JACKSONVILLE	NC	$1.63M
GOSHEN MEDICAL CENTER, INC.	FREMONT	NC	$606K
GOSHEN MEDICAL CENTER INCORPORATED	ROSE HILL	NC	$469K
GOSHEN MEDICAL CENTER INCORPORATED	GARLAND	NC	$449K
GOSHEN MEDICAL CENTER INCORPORATED	WARSAW	NC	$438K
GOSHEN MEDICAL CENTER, INC.	KENANSVILLE	NC	$50K

Year	Claims	Total Paid
2018	1,225	$43K

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	527	442	$35K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	414	310	$8K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	29	28	$0.00
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	255	247	$0.00