Clinic
Kinston Community Health Center, INC
Kinston Community Health Center, INC was paid $6.49M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
33Billing provider infoKINSTON COMMUNITY HEALTH CENTER, INC
KINSTON, NC 28501
KINSTON, NC 28501
33aNPI1104859313assigned 07/09/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$6.49M
24GClaims286,625
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#8 of 116
Median peer was paid$226K
This provider vs. median29×
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 | 22,434 | $805K | |
| 2019 | 30,881 | $867K | |
| 2020 | 14,213 | $743K | |
| 2021 | 28,789 | $957K | |
| 2022 | 59,980 | $918K | |
| 2023 | 60,293 | $880K | |
| 2024incomplete | 70,035 | $1.32M |
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 | 79% | 59,125 | 40,515 | $5.10M |
| 99199 | Unlisted special service, procedure or report | 13% | 164,187 | 118,196 | $872K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 1,060 | 789 | $47K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,602 | 3,055 | $37K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 829 | 439 | $37K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 607 | 427 | $35K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,709 | 1,108 | $32K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 959 | 669 | $31K |
| 81003 | <1% | 16,440 | 9,345 | $29K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 564 | 295 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 444 | 314 | $27K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 432 | 312 | $25K |
73 more codes
| G0467 | Community health center visit, returning patient | <1% | 1,215 | $21K |
| 81025 | <1% | 4,557 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,641 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 223 | $13K |
| D1351 | Sealant - per tooth | <1% | 337 | $10K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 476 | $8K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 202 | $8K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,018 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,235 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 159 | $7K |
| D1120 | Dental cleaning, child | <1% | 233 | $6K |
| 0012A | <1% | 133 | $6K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 535 | $5K |
| 0011A | <1% | 157 | $5K | |
| 0001A | <1% | 161 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 146 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 235 | $4K |
| 0002A | <1% | 135 | $4K | |
| D0272 | Bitewings - two radiographic images | <1% | 204 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 414 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 412 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 199 | $3K |
| 80061 | Lipid panel | <1% | 351 | $3K |
| 90686 | <1% | 1,144 | $3K | |
| 76801 | <1% | 35 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 185 | $2K |
| 87210 | <1% | 1,336 | $2K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 40 | $2K |
| 85018 | <1% | 4,732 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 113 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 32 | $2K |
| 0071A | <1% | 57 | $1K | |
| 87428 | <1% | 25 | $1K | |
| 82948 | <1% | 1,688 | $1K | |
| 80305 | <1% | 88 | $1K | |
| D0120 | Dental checkup, returning patient | <1% | 40 | $970.56 |
| 0013A | <1% | 22 | $653.14 | |
| 99454 | <1% | 12 | $471.33 | |
| 0064A | <1% | 52 | $421.00 | |
| 98968 | <1% | 14 | $409.80 | |
| 96127 | <1% | 110 | $402.21 | |
| 92551 | <1% | 1,085 | $389.42 | |
| 90715 | <1% | 12 | $347.37 | |
| 80053 | Comprehensive metabolic panel | <1% | 143 | $340.80 |
| 90688 | <1% | 41 | $147.15 | |
| 99173 | <1% | 993 | $104.70 | |
| 92587 | <1% | 15 | $60.16 | |
| 99072 | <1% | 140 | $48.15 | |
| 1159F | 0% | 1,985 | $0.00 | |
| 3078F | 0% | 884 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 1,566 | $0.00 |
| 90633 | 0% | 82 | $0.00 | |
| 0502F | 0% | 44 | $0.00 | |
| 90670 | 0% | 376 | $0.00 | |
| 90707 | 0% | 83 | $0.00 | |
| 90681 | 0% | 31 | $0.00 | |
| 90685 | 0% | 33 | $0.00 | |
| 91300 | 0% | 99 | $0.00 | |
| 90647 | 0% | 247 | $0.00 | |
| 1126F | 0% | 426 | $0.00 | |
| 3074F | 0% | 1,212 | $0.00 | |
| 3079F | 0% | 163 | $0.00 | |
| 90723 | 0% | 244 | $0.00 | |
| 90716 | 0% | 57 | $0.00 | |
| 90651 | 0% | 75 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 217 | $0.00 |
| 3075F | 0% | 12 | $0.00 | |
| 91307 | 0% | 95 | $0.00 | |
| 91301 | 0% | 48 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 14 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 0% | 63 | $0.00 |
| 3044F | 0% | 66 | $0.00 | |
| 90696 | 0% | 13 | $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 officialFREEMAN, SUZANNE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Kinston Community Health Center, INC | Kinston, NC | $704K |
| Kinston Community Health Center, INC. | Kinston, NC | $405K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.