Moses Cone Physician Services, INC.
Moses Cone Physician Services, INC. was paid $256K by Medicaid between Oct 2018 and Feb 2020, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
REIDSVILLE, NC 27320
Next to other Obstetrics & Gynecology Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,524 | $51K | |
| 2019 | 4,667 | $184K | |
| 2020 | 530 | $20K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 1,136 | 937 | $54K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 13% | 424 | 393 | $33K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 13% | 311 | 309 | $32K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 9.1% | 186 | 171 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.7% | 710 | 630 | $20K |
| 76801 | 7.0% | 186 | 178 | $18K | |
| 59430 | 5.2% | 132 | 121 | $13K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 5.1% | 284 | 275 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.7% | 707 | 551 | $9K |
| 81025 | 3.0% | 1,163 | 1,069 | $8K | |
| 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 | 2.9% | 100 | 78 | $7K |
| 76813 | 2.2% | 67 | 63 | $6K |
9 more codes
| 76819 | Fetal biophysical profile; without non-stress testing | 1.7% | 66 | $4K |
| 90715 | 1.4% | 100 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 210 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 32 | $3K |
| 81002 | <1% | 552 | $1K | |
| 90686 | <1% | 98 | $1K | |
| 87210 | <1% | 216 | $847.43 | |
| 76820 | <1% | 22 | $846.60 | |
| 59025 | Fetal non-stress test | <1% | 19 | $526.95 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.