Clinic
Goshen Medical Center, INC
Goshen Medical Center, INC was paid $9.04M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 49% of everything it billed.
33Billing provider infoGOSHEN MEDICAL CENTER, INC
FAISON, NC 28341
FAISON, NC 28341
33aNPI1154378933assigned 05/27/2006
33bProvider typeClinic/Center
28Total paid$9.04M
24GClaims490,418
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in North Carolina
Rank by total paid#3 of 57
Median peer was paid$97K
This provider vs. median93×
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.
Entity ProliferationAuthorized official BOUNDS, GREGORY controls 20+ related entities in our dataset. Read more
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 | 20,105 | $289K | |
| 2019 | 21,007 | $342K | |
| 2020 | 25,261 | $562K | |
| 2021 | 88,187 | $2.11M | |
| 2022 | 113,113 | $1.94M | |
| 2023 | 67,042 | $773K | |
| 2024incomplete | 155,703 | $3.03M |
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 | 49% | 54,007 | 39,796 | $4.38M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 18% | 62,041 | 40,666 | $1.67M |
| 99199 | Unlisted special service, procedure or report | 11% | 191,835 | 138,828 | $965K |
| 87428 | 4.8% | 10,858 | 6,780 | $433K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 5,780 | 4,663 | $347K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 4,107 | 3,182 | $259K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.1% | 3,664 | 3,114 | $190K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 23,525 | 18,300 | $182K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 1,980 | 1,526 | $100K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 3,670 | 2,856 | $75K |
| 99384 | <1% | 1,149 | 891 | $72K | |
| 92552 | <1% | 14,049 | 10,640 | $70K |
62 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,043 | $56K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 9,424 | $52K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 10,940 | $49K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,901 | $33K |
| 69210 | <1% | 713 | $22K | |
| 94010 | <1% | 677 | $11K | |
| 92587 | <1% | 1,433 | $10K | |
| 99383 | <1% | 117 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,170 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,001 | $7K |
| 94150 | <1% | 343 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 390 | $4K |
| 96127 | <1% | 3,880 | $3K | |
| 96161 | <1% | 1,289 | $3K | |
| 99173 | <1% | 10,769 | $2K | |
| 0072A | <1% | 57 | $2K | |
| 0011A | <1% | 39 | $1K | |
| 85018 | <1% | 514 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,049 | $1K |
| 96160 | <1% | 909 | $1K | |
| 0012A | <1% | 16 | $975.00 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 438 | $939.82 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 180 | $830.62 |
| 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 | <1% | 57 | $745.14 |
| 94664 | <1% | 62 | $653.79 | |
| 99188 | <1% | 679 | $634.20 | |
| 82962 | <1% | 276 | $509.78 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 17 | $468.29 |
| D1206 | Topical application of fluoride varnish | <1% | 438 | $414.86 |
| 81003 | <1% | 316 | $402.51 | |
| 90837 | Psychotherapy session, about an hour | <1% | 12 | $300.90 |
| 86580 | <1% | 421 | $276.05 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $257.04 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 161 | $174.84 |
| 90474 | <1% | 42 | $135.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 50 | $102.85 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $84.81 |
| 90661 | <1% | 15 | $65.30 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 88 | $58.60 |
| 99406 | <1% | 522 | $35.65 | |
| 3074F | <1% | 19,343 | $22.67 | |
| 3078F | <1% | 15,391 | $18.30 | |
| 3079F | <1% | 6,551 | $7.13 | |
| 94760 | <1% | 38 | $4.26 | |
| 3075F | <1% | 1,868 | $1.96 | |
| 3077F | <1% | 671 | $0.67 | |
| 3080F | <1% | 251 | $0.31 | |
| 90674 | 0% | 142 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 33 | $0.00 |
| 99335 | 0% | 93 | $0.00 | |
| 91301 | 0% | 196 | $0.00 | |
| 92551 | 0% | 60 | $0.00 | |
| 4450F | 0% | 43 | $0.00 | |
| 90686 | 0% | 381 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 13 | $0.00 |
| 90473 | 0% | 719 | $0.00 | |
| 90461 | 0% | 158 | $0.00 | |
| 90670 | 0% | 14 | $0.00 | |
| 90649 | 0% | 125 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 122 | $0.00 |
| 90715 | 0% | 14 | $0.00 | |
| 90734 | 0% | 51 | $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 officialBOUNDS, GREGORY (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.