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

American Healthcare Systems, LLC

American Healthcare Systems, LLC was paid $5.30M by Medicaid between Oct 2021 and Dec 2024, across 63 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoAMERICAN HEALTHCARE SYSTEMS, LLC
ASHEBORO, NC 27203
33aNPI1184219222assigned 03/01/2021
33bProvider typePediatrics Physician
28Total paid$5.30M
24GClaims199,587
24DCodes billed63
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in North Carolina

Rank by total paid#74 of 433
Median peer was paid$942K
This provider vs. median5.6×

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 GILL, FAISAL controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
202117,699$441K
202253,544$1.71M
202364,023$1.70M
2024incomplete64,321$1.45M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 30% 25,248 19,574 $1.57M
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 14% 8,457 6,645 $752K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.4% 5,291 4,386 $499K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.8% 5,396 4,328 $467K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.6% 4,219 3,508 $402K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 6.4% 3,250 2,707 $341K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5.2% 14,902 12,049 $278K
90472 Immunization administration, each additional vaccine (list separately) 3.8% 8,110 6,727 $202K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.0% 6,728 5,106 $161K
99199 Unlisted special service, procedure or report 2.4% 46,484 46,450 $125K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 7,354 6,012 $95K
99460 1.1% 785 662 $58K
51 more codes
99238 Hospital discharge day management, 30 minutes or less 1.1% 1,050 $58K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.0% 1,529 $56K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 5,825 $47K
90474 <1% 1,757 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 733 $27K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 2,700 $23K
96127 <1% 4,295 $17K
92551 <1% 10,483 $12K
87807 <1% 930 $12K
D0145 Oral evaluation for a patient under three years of age <1% 293 $11K
87428 <1% 161 $10K
80061 Lipid panel <1% 564 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 67 $7K
D1206 Topical application of fluoride varnish <1% 293 $5K
99462 <1% 105 $3K
54150 <1% 13 $3K
99173 <1% 11,320 $2K
99215 Doctor's office visit, returning patient (complex) <1% 23 $2K
96160 <1% 597 $2K
90619 <1% 849 $2K
90620 <1% 623 $2K
69210 <1% 46 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 133 $1K
99381 <1% 18 $1K
90671 <1% 1,458 $1K
81003 <1% 433 $1K
90651 <1% 601 $847.51
82962 <1% 300 $790.36
90686 <1% 4,296 $601.09
90697 <1% 1,222 $435.81
85014 <1% 909 $387.80
90473 <1% 19 $381.40
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 81 $336.17
90670 <1% 1,804 $239.75
94760 <1% 3,282 $204.37
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 28 $138.68
90698 <1% 589 $108.07
90715 <1% 137 $46.50
90656 <1% 428 $41.06
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 79 $9.36
90680 0% 1,666 $0.00
90677 0% 118 $0.00
90696 0% 135 $0.00
90716 0% 25 $0.00
90674 0% 501 $0.00
90744 0% 81 $0.00
90633 0% 554 $0.00
90710 0% 136 $0.00
90707 0% 13 $0.00
S9441 Asthma education, non-physician provider, per session 0% 27 $0.00
90672 0% 34 $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 officialGILL, FAISAL (LEGAL COUNSEL)
Same official

Other billing entities under GILL, FAISAL

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