Physician
First Choice Community Health Centers
First Choice Community Health Centers was paid $462K by Medicaid between Aug 2019 and Dec 2024, across 13 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 46% of everything it billed.
33Billing provider infoFIRST CHOICE COMMUNITY HEALTH CENTERS
LILLINGTON, NC 27546
LILLINGTON, NC 27546
33aNPI1083971279assigned 04/12/2012
33bProvider typeGeneral Practice Physician
28Total paid$462K
24GClaims39,842
24DCodes billed13
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in North Carolina
Rank by total paid#17 of 51
Median peer was paid$205K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2019 | 1,168 | $550.74 | |
| 2020 | 2,244 | $86K | |
| 2021 | 5,331 | $85K | |
| 2022 | 8,422 | $100K | |
| 2023 | 9,483 | $98K | |
| 2024incomplete | 13,194 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 46% | 31,515 | 23,491 | $211K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 42% | 3,486 | 2,989 | $196K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 3,344 | 2,862 | $38K |
| 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 | 3.6% | 751 | 690 | $16K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 79 | 71 | $170.83 |
| 36415 | Collection of venous blood by venipuncture | <1% | 270 | 234 | $80.26 |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 124 | 112 | $61.44 |
| 96127 | <1% | 14 | 12 | $17.00 | |
| 91301 | 0% | 29 | 27 | $0.00 | |
| 1000F | 0% | 68 | 55 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 121 | 118 | $0.00 |
| G3014 | 0% | 29 | 26 | $0.00 |
1 more codes
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $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 officialSIMMONS, SHEILA (CHIEF EXECUTIVE OFFICER)
Parent organizationFIRST CHOICE COMMUNITY HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| First Choice Community Health Centers | Cameron, NC | $173K |
| First Choice Community Health Centers | Spring Lake, NC | $122K |
| First Choice Community Health Centers | Angier, NC | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.