Agency
County of Caldwell
County of Caldwell was paid $3.81M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 51% of everything it billed.
33Billing provider infoCOUNTY OF CALDWELL
LENOIR, NC 28645
LENOIR, NC 28645
33aNPI1083756571assigned 02/13/2007
33bProvider typeCase Management Agency
28Total paid$3.81M
24GClaims477,039
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#64 of 195
Median peer was paid$2.05M
This provider vs. median1.9×
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 | 10,846 | $314K | |
| 2019 | 10,074 | $299K | |
| 2020 | 11,809 | $264K | |
| 2021 | 50,130 | $532K | |
| 2022 | 124,148 | $824K | |
| 2023 | 143,469 | $772K | |
| 2024incomplete | 126,563 | $807K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 51% | 360,206 | 315,760 | $1.94M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 14,506 | 6,377 | $590K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.5% | 8,506 | 4,308 | $173K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 4,013 | 3,291 | $86K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 895 | 728 | $85K |
| D1206 | Topical application of fluoride varnish | 1.9% | 5,539 | 4,468 | $72K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 8,788 | 3,942 | $63K |
| D1110 | Prophylaxis - adult | 1.6% | 2,097 | 1,609 | $61K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.6% | 2,975 | 1,621 | $61K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 3,870 | 1,624 | $55K |
| D0330 | Panoramic radiographic image | 1.3% | 1,698 | 1,251 | $51K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 1,278 | 1,025 | $46K |
68 more codes
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.2% | 1,778 | $45K |
| D1120 | Dental cleaning, child | 1.2% | 1,894 | $45K |
| D1351 | Sealant - per tooth | 1.1% | 4,023 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,084 | $36K |
| 76801 | <1% | 708 | $36K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 818 | $36K |
| D0274 | Bitewings - four radiographic images | <1% | 1,883 | $34K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 615 | $33K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 381 | $29K |
| 81025 | <1% | 8,164 | $29K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 303 | $22K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 181 | $18K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 504 | $18K |
| D0272 | Bitewings - two radiographic images | <1% | 1,040 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 227 | $11K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 438 | $9K |
| 81002 | <1% | 6,208 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,538 | $7K |
| 90651 | <1% | 988 | $6K | |
| 85018 | <1% | 3,887 | $6K | |
| 90686 | <1% | 2,145 | $5K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,674 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 325 | $4K |
| 90734 | <1% | 927 | $4K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 155 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 59 | $3K |
| 99383 | <1% | 38 | $3K | |
| 90715 | <1% | 985 | $3K | |
| 99384 | <1% | 12 | $2K | |
| 90620 | <1% | 426 | $2K | |
| 99385 | <1% | 12 | $2K | |
| 82947 | <1% | 386 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 90 | $1K |
| 81003 | <1% | 1,697 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 210 | $1K |
| 90716 | <1% | 333 | $1K | |
| 87210 | <1% | 530 | $944.63 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 70 | $859.68 |
| 90480 | <1% | 84 | $803.30 | |
| 96160 | <1% | 609 | $658.24 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 133 | $459.16 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 77 | $442.98 |
| 96127 | <1% | 266 | $442.58 | |
| 90707 | <1% | 298 | $322.79 | |
| 90688 | <1% | 35 | $300.20 | |
| 91322 | <1% | 79 | $263.69 | |
| 90656 | <1% | 159 | $246.52 | |
| 92551 | <1% | 443 | $215.26 | |
| 90619 | <1% | 1,374 | $164.86 | |
| 99173 | <1% | 563 | $126.80 | |
| 96161 | <1% | 68 | $78.54 | |
| 81001 | <1% | 21 | $71.39 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,135 | $30.56 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,131 | $30.56 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 834 | $29.92 |
| 90633 | <1% | 312 | $26.06 | |
| 86592 | <1% | 851 | $5.31 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 409 | $0.00 |
| 36416 | 0% | 259 | $0.00 | |
| 90696 | 0% | 78 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 152 | $0.00 |
| 86850 | 0% | 145 | $0.00 | |
| 86803 | 0% | 290 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 202 | $0.00 |
| 87340 | 0% | 321 | $0.00 | |
| G2024 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source | 0% | 130 | $0.00 |
| 86901 | 0% | 95 | $0.00 | |
| 99000 | 0% | 379 | $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 officialMARTIN, ANNA (HEALTH DIRECTOR)
Parent organizationCOUNTY OF CALDWELL