Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cape Fear Valley Health System Specialty Group, LLC

Cape Fear Valley Health System Specialty Group, LLC was paid $14K by Medicaid between Feb 2018 and Sep 2018, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 63% of everything it billed.

33Billing provider infoCAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC
LUMBERTON, NC 28358
33aNPI1104344183assigned 08/30/2017
28Total paid$14K
24GClaims231
24DCodes billed3
24AFirst – last monthFeb 2018 – Sep 2018
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#745 of 960
Median peer was paid$135K
This provider vs. median0.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018231$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 63% 140 134 $9K
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 21% 57 52 $3K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16% 34 34 $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.

From NPPES

Who's on the registration

Authorized officialNAGOWSKI, MICHAEL (CEO)
Parent organizationCUMBERLAND COUNTY HOSPITAL SYSTEM, INC
Same official

Other billing entities under NAGOWSKI, MICHAEL

Full network →
ProviderLocationPaid
Pediatric PracticeFayetteville, NC$1.26M
Cumberland Co. Hospital System INCFayetteville, NC$727K
Cumberland County Hospital System INCFayetteville, NC$40K
Cape Fear Valley Health System Specialty Group, LLCDunn, NC$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.