Medicaid Provider Spending

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

MOSES CONE PHYSICIAN SERVICES, INC.

NPI: 1164949814 · GREENSBORO, NC 27401 · Developmental - Behavioral Pediatrics Physician · NPI assigned 08/24/2017

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

Authorized official HAMMOND, SALLY controls 20+ related entities in our dataset. Read more

$3.94M
Total Medicaid Paid
64,002
Total Claims
54,480
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAMMOND, SALLY (EXECUTIVE DIRECTOR)
Parent OrganizationTHE MOSES H. CONE MEMORIAL HOSPITAL
NPI Enumeration Date08/24/2017

Related Entities

Other providers sharing the same authorized official: HAMMOND, SALLY

ProviderCityStateTotal Paid
ALAMANCE REGIONAL MEDICAL CENTER, INC. BURLINGTON NC $30.90M
MOSES CONE AFFILIATED PHYSICIANS, INC. HIGH POINT NC $5.81M
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $4.85M
MOSES CONE PHYSICIAN SERVICES, INC REIDSVILLE NC $4.39M
MOSES CONE AFFILIATED PHYSICIANS, INC. GREENSBORO NC $3.94M
MOSES CONE MEDICAL SERVICES, INC. MADISON NC $2.01M
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $1.49M
ARMC PHYSICIANS CARE, INC. BURLINGTON NC $675K
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $410K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $404K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $263K
MOSES CONE PHYSICIAN SERVICES, INC. REIDSVILLE NC $256K
MOSES CONE AFFILIATED PHYSICIANS, INC. ASHEBORO NC $190K
MOSES CONE PHYSICIAN SERVICES, INC BURLINGTON NC $176K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $150K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $106K
MOSES CONE AFFILIATED PHYSICIANS, INC. BURLINGTON NC $67K
MOSES CONE AFFILIATED PHYSICIANS, INC. ASHEBORO NC $50K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $47K
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,253 $438K
2019 6,796 $469K
2020 6,152 $415K
2021 9,922 $569K
2022 11,554 $657K
2023 11,176 $752K
2024 11,149 $638K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17,089 14,976 $1.31M
99215 Prolong outpt/office vis 10,454 8,860 $1.18M
99244 Office or other outpatient consultation, moderate to high complexity 3,352 3,155 $462K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,830 1,469 $213K
95816 1,347 1,218 $126K
99205 Prolong outpt/office vis 652 572 $98K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,965 1,682 $95K
97803 1,949 1,629 $83K
83036 Hemoglobin; glycosylated (A1C) 7,301 6,051 $70K
99417 Prolong home eval add 15m 377 312 $46K
99245 287 225 $43K
97802 670 510 $39K
95251 1,529 1,298 $38K
99243 376 295 $32K
82962 10,440 8,386 $25K
92610 508 391 $25K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 140 117 $11K
95812 43 40 $6K
95819 51 36 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 438 277 $5K
43762 33 25 $4K
90834 Psychotherapy, 45 minutes with patient 45 39 $3K
92567 297 228 $3K
90837 Psychotherapy, 53 minutes with patient 20 18 $2K
96127 379 368 $2K
90832 Psychotherapy, 30 minutes with patient 104 81 $2K
92587 58 42 $1K
99443 18 18 $1K
99442 34 29 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 47 44 $858.80
97162 16 12 $752.77
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16 13 $514.42
99441 17 15 $439.70
90686 72 68 $259.05
3044F 83 83 $25.00
3074F 845 840 $25.00
3078F 753 748 $25.00
92558 87 71 $8.50
94760 22 14 $6.66
36416 231 198 $0.00
3079F 13 13 $0.00
82948 14 14 $0.00