Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

Moses Cone Affiliated Physicians, INC.

Moses Cone Affiliated Physicians, INC. was paid $67K by Medicaid between Jan 2018 and Sep 2023, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoMOSES CONE AFFILIATED PHYSICIANS, INC.
BURLINGTON, NC 27215
33aNPI1194245084assigned 06/22/2017
28Total paid$67K
24GClaims1,770
24DCodes billed13
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers

Next to other Advanced Practice Midwife providers in North Carolina

Rank by total paid#1 of 8
Median peer was paid$2K
This provider vs. median42×

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

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018230$7K
2019303$14K
2020351$13K
2021553$16K
2022266$12K
202367$3K
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 65% 977 738 $43K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 12% 103 98 $8K
59025 Fetal non-stress test 7.7% 228 172 $5K
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 5.9% 54 41 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3.4% 28 26 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.4% 137 99 $2K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 1.8% 15 12 $1K
S0280 Medical home program, comprehensive care coordination and planning, initial plan <1% 12 12 $550.00
99441 <1% 22 14 $475.02
99199 Unlisted special service, procedure or report <1% 90 90 $455.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 13 $175.57
87210 <1% 33 25 $143.17
1 more codes
81002 <1% 58 $54.20

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 officialHAMMOND, SALLY (EXECUTIVE DIRECTOR)
Parent organizationTHE MOSES H CONE MEMORIAL HOSPITAL
Same official

Other billing entities under HAMMOND, SALLY

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