Clinic
Cleco Primary Care Network
Cleco Primary Care Network was paid $704K by Medicaid between Jan 2018 and Feb 2023, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoCLECO PRIMARY CARE NETWORK
KINGS MOUNTAIN, NC 28086
KINGS MOUNTAIN, NC 28086
33aNPI1093795155assigned 01/17/2006
33bProvider typeRural Health Clinic/Center
28Total paid$704K
24GClaims29,667
24DCodes billed7
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Rural Health Clinic/Center providers in North Carolina
Rank by total paid#19 of 65
Median peer was paid$156K
This provider vs. median4.5×
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 | 2,464 | $156K | |
| 2019 | 2,185 | $136K | |
| 2020 | 2,053 | $111K | |
| 2021 | 9,350 | $170K | |
| 2022 | 13,098 | $128K | |
| 2023 | 517 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 83% | 9,028 | 7,717 | $585K |
| 99199 | Unlisted special service, procedure or report | 16% | 18,596 | 12,191 | $113K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,575 | 1,342 | $3K |
| 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% | 274 | 251 | $3K |
| 81002 | <1% | 138 | 131 | $333.21 | |
| 81003 | <1% | 26 | 26 | $54.34 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 30 | 28 | $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 officialJORDAN, MICHELLE (FINANCIAL MANAGER)
Parent organizationCLECO PRIMARY CARE NETWORK
| Provider | Location | Paid |
|---|---|---|
| Cleco Primary Care Network | Shelby, NC | $2.02M |
| Cleco Primary Care Network | Lawndale, NC | $560K |
| Carolina Oncology Specialist PA | Charlotte, NC | $218K |
| Spring Street Dental | Jeffersonville, IN | $186K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.