Physician
Moses Cone Affiliated Physicians, INC.
Moses Cone Affiliated Physicians, INC. was paid $8.14M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoMOSES CONE AFFILIATED PHYSICIANS, INC.
EDEN, NC 27288
EDEN, NC 27288
33aNPI1114228475assigned 11/03/2010
33bProvider typePediatrics Physician
28Total paid$8.14M
24GClaims419,168
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#48 of 433
Median peer was paid$942K
This provider vs. median8.6×
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 | 21,786 | $710K | |
| 2019 | 28,850 | $1.08M | |
| 2020 | 25,625 | $891K | |
| 2021 | 64,313 | $1.41M | |
| 2022 | 92,810 | $1.38M | |
| 2023 | 96,137 | $1.41M | |
| 2024incomplete | 89,647 | $1.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 22% | 18,933 | 17,428 | $1.76M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 24,111 | 22,120 | $1.54M |
| 99199 | Unlisted special service, procedure or report | 17% | 230,454 | 116,925 | $1.39M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.0% | 4,377 | 4,110 | $407K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.3% | 3,972 | 3,548 | $353K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 3,730 | 3,561 | $345K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 22,498 | 9,676 | $274K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.2% | 7,269 | 6,658 | $259K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.1% | 13,496 | 12,374 | $254K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.1% | 7,865 | 6,442 | $253K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 2,177 | 2,086 | $218K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.5% | 2,439 | 1,984 | $200K |
58 more codes
| 87428 | 2.3% | 3,269 | $186K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 8,787 | $110K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 2,643 | $101K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 759 | $97K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 8,974 | $84K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 2,445 | $70K |
| 96127 | <1% | 9,554 | $39K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,445 | $31K |
| 87807 | <1% | 2,462 | $30K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 389 | $26K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 232 | $23K |
| 90474 | <1% | 889 | $16K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 309 | $14K |
| 92551 | <1% | 8,321 | $11K | |
| 90686 | <1% | 3,811 | $5K | |
| 90651 | <1% | 361 | $5K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 144 | $5K |
| 99173 | <1% | 8,912 | $5K | |
| 0072A | <1% | 64 | $4K | |
| 90734 | <1% | 392 | $4K | |
| 83655 | <1% | 274 | $3K | |
| 99051 | <1% | 107 | $3K | |
| 0001A | <1% | 52 | $2K | |
| 0071A | <1% | 24 | $2K | |
| 99401 | <1% | 56 | $1K | |
| 85018 | <1% | 766 | $1K | |
| 90473 | <1% | 68 | $1K | |
| 99381 | <1% | 12 | $1K | |
| 99384 | <1% | 15 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 108 | $1K |
| 90670 | <1% | 2,585 | $1K | |
| 98968 | <1% | 48 | $1K | |
| 99441 | <1% | 30 | $870.25 | |
| 81002 | <1% | 336 | $822.53 | |
| 96161 | <1% | 281 | $814.61 | |
| 90656 | <1% | 476 | $679.54 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 29 | $630.81 |
| 90680 | <1% | 1,091 | $571.05 | |
| 90620 | <1% | 13 | $397.65 | |
| 90672 | <1% | 174 | $381.97 | |
| 87809 | <1% | 46 | $366.44 | |
| 90647 | <1% | 924 | $354.44 | |
| 90715 | <1% | 76 | $344.17 | |
| 90723 | <1% | 877 | $274.59 | |
| 90716 | <1% | 441 | $253.57 | |
| 90707 | <1% | 400 | $207.37 | |
| 90633 | <1% | 445 | $160.67 | |
| 90697 | <1% | 459 | $127.19 | |
| 91300 | <1% | 68 | $65.00 | |
| 90655 | <1% | 30 | $48.16 | |
| 90677 | <1% | 147 | $45.80 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 34 | $38.91 |
| 90696 | <1% | 28 | $23.10 | |
| 91307 | <1% | 241 | $0.28 | |
| 3074F | 0% | 954 | $0.00 | |
| 3078F | 0% | 944 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 91308 | 0% | 14 | $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 officialBOGGS, KENNETH (CFO/TREASURER)
Parent organizationTHE MOSES H. CONE MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Moses Cone Affiliated Physicians, INC. | Greensboro, NC | $235K |
| Moses Cone Physician Services, INC. | Greensboro, NC | $12K |
| Moses Cone Affiliated Physicians, INC. | High Point, NC | $805.85 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.