Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PIEDMONT HEALTH SERVICES, INC.

NPI: 1144583055 · SNOW CAMP, NC 27349 · Federally Qualified Health Center (FQHC) · NPI assigned 06/18/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TOOMEY, BRIAN controls 12+ related entities in our dataset. Read more

$544K
Total Medicaid Paid
51,942
Total Claims
26,386
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTOOMEY, BRIAN (CEO)
NPI Enumeration Date06/18/2012

Related Entities

Other providers sharing the same authorized official: TOOMEY, BRIAN

ProviderCityStateTotal Paid
PIEDMONT HEALTH SERVICES, INC CARRBORO NC $16.87M
PIEDMONT HEALTH SERVICES, INC BURLINGTON NC $6.22M
PIEDMONT HEALTH SERVICES, INC BURLINGTON NC $3.31M
PIEDMONT HEALTH SERVICES, INC BURLINGTON NC $2.76M
PIEDMONT HEALTH SERVICES, INC SILER CITY NC $2.00M
PIEDMONT HEALTH SERVICES, INC PROSPECT HILL NC $1.99M
PIEDMONT HEALTH SERVICES, INC. CARRBORO NC $678K
PIEDMONT HEALTH SERVICES, INC MONCURE NC $470K
PIEDMONT HEALTH SERVICES, INC. SILER CITY NC $228K
PIEDMONT HEALTH SERVICES, INC. PROSPECT HILL NC $127K
PIEDMONT HEALTH SERVICES, INC CARRBORO NC $11K
PIEDMONT HEALTH SERVICES, INC CARRBORO NC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 920 $66K
2019 727 $65K
2020 608 $52K
2021 2,289 $50K
2022 9,959 $59K
2023 15,142 $85K
2024 22,297 $167K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 48,924 23,869 $288K
T1015 Clinic visit/encounter, all-inclusive 2,700 2,243 $255K
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 32 29 $678.80
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 12 12 $92.91
96160 14 13 $24.09
96127 188 156 $13.47
92551 36 32 $2.00
99173 36 32 $1.00