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

Gaston Family Health Services, INC.

Gaston Family Health Services, INC. was paid $848K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.

33Billing provider infoGASTON FAMILY HEALTH SERVICES, INC.
WINSTON SALEM, NC 27105
33aNPI1154453496assigned 03/12/2007
28Total paid$848K
24GClaims15,423
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Student Health Clinic/Center providers in North Carolina

Rank by total paid#1 of 8
Median peer was paid$23K
This provider vs. median37×

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 ANDERSON, SHARMILA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20181,920$128K
20193,947$109K
2020168$14K
2021501$26K
20221,095$77K
20233,525$262K
2024incomplete4,267$233K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 96% 6,855 3,380 $811K
99199 Unlisted special service, procedure or report 2.5% 4,205 2,853 $21K
99383 1.6% 461 133 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 12 $1K
92551 <1% 1,169 422 $798.17
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 51 35 $453.73
99173 <1% 1,231 476 $393.88
96127 <1% 13 12 $49.39
3074F 0% 358 210 $0.00
3008F 0% 17 13 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 228 57 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 85 47 $0.00
5 more codes
3078F 0% 329 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 233 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 112 $0.00
90734 0% 35 $0.00
90715 0% 28 $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 officialANDERSON, SHARMILA (BUSINESS SERVICES ADMINISTRATOR)
Parent organizationGASTON FAMILY HEALTH SERVICES, INC
Same official

Other billing entities under ANDERSON, SHARMILA

Full network →

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