Granville Health System
Granville Health System was paid $569K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 35% of everything it billed.
OXFORD, NC 27565
Next to other Anesthesiology Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,542 | $91K | |
| 2019 | 1,185 | $73K | |
| 2020 | 1,290 | $81K | |
| 2021 | 2,676 | $93K | |
| 2022 | 1,509 | $66K | |
| 2023 | 2,101 | $98K | |
| 2024incomplete | 1,148 | $67K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 35% | 2,230 | 1,892 | $197K |
| 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 | 30% | 2,456 | 2,063 | $173K |
| 90836 | 16% | 1,806 | 1,549 | $91K | |
| 90785 | 11% | 2,339 | 1,981 | $62K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 4.1% | 617 | 540 | $23K |
| 90838 | 2.4% | 189 | 121 | $14K | |
| 99199 | Unlisted special service, procedure or report | 1.4% | 1,443 | 1,435 | $8K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 371 | 317 | $2K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Granville Health System | Oxford, NC | $13.31M |
| Granville Health System | Oxford, NC | $2.94M |
| Granville Health System | Creedmoor, NC | $2.34M |
| Granville Health System | Oxford, NC | $731K |
| Granville Health INC. | Oxford, NC | $268K |
| Granville Health INC. | Oxford, NC | $259K |
| Granville Health INC | Oxford, NC | $158K |
| Granville Health INC | Oxford, NC | $150K |
| Granville Health System | Oxford, NC | $119K |
| Granville Health System | Oxford, NC | $87K |
| Granville Health System | Oxford, NC | $37K |
| Granville Health INC. | Oxford, NC | $22K |
| Granville Health INC | Oxford, NC | $11K |
| Granville Health System | Oxford, NC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.