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.
ASHEBORO, NC 27203
Next to other Pediatrics 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 | |
|---|---|---|---|
| 2021 | 17,699 | $441K | |
| 2022 | 53,544 | $1.71M | |
| 2023 | 64,023 | $1.70M | |
| 2024incomplete | 64,321 | $1.45M |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| American Healthcare Systems, LLC | Asheboro, NC | $20.89M |
| American Healthcare Systems, LLC | Asheboro, NC | $1.44M |
| American Healthcare Systems, LLC | Asheboro, NC | $561K |
| American Healthcare Systems, LLC | Liberty, NC | $322K |
| American Healthcare Systems, LLC | Asheboro, NC | $251K |
| American Healthcare Systems, LLC | Asheboro, NC | $237K |
| American Healthcare Systems, LLC | Asheboro, NC | $111K |
| American Healthcare Systems, LLC | Asheboro, NC | $63K |
| American Healthcare Systems, LLC | Asheboro, NC | $59K |
| American Healthcare Systems, LLC | Asheboro, NC | $53K |
| American Healthcare Systems, LLC | Seagrove, NC | $46K |
| American Healthcare Systems, LLC | Asheboro, NC | $17K |
| American Healthcare Systems, LLC | Asheboro, NC | $956.65 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.