Medicaid Provider Spending

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

GASTON FAMILY HEALTH SERVICES, INC.

NPI: 1215932215 · GASTONIA, NC 28052 · Federally Qualified Health Center (FQHC) · NPI assigned 06/16/2005

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

Authorized official ANDERSON, SHARMILA controls 20+ related entities in our dataset. Read more

$9.40M
Total Medicaid Paid
437,873
Total Claims
321,757
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, SHARMILA (BUSINESS SERVICE ADMINISTRATOR)
Parent OrganizationGASTON FAMILY HEALTH SERVICES, INC
NPI Enumeration Date06/16/2005

Related Entities

Other providers sharing the same authorized official: ANDERSON, SHARMILA

ProviderCityStateTotal Paid
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $5.74M
GASTON FAMILY HEALTH SERVICES, INC. STATESVILLE NC $4.75M
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $3.43M
GASTON FAMILY HEALTH SERVICES, INC. CLAREMONT NC $2.71M
GASTON FAMILY HEALTH SERVICES INC STATESVILLE NC $2.44M
GASTON FAMILY HEALTH SERVICES, INC. LEXINGTON NC $2.38M
GASTON FAMILY HEALTH SERVICES, INC. BESSEMER CITY NC $2.34M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $2.22M
GASTON FAMILY HEALTH SERVICES, INC HICKORY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. SHELBY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. MAIDEN NC $2.01M
GASTON FAMILY HEALTH SERVICES, INC. KINGS MOUNTAIN NC $1.65M
GASTON FAMILY HEALTH SERVICES, INC. MOCKSVILLE NC $1.40M
GASTON FAMILY HEALTH SERVICES INC LINCOLNTON NC $1.37M
GASTON FAMILY HEALTH SERVICES, INC. TAYLORSVILLE NC $1.01M
GASTON FAMILY HEALTH SERVICES, INC. WINSTON SALEM NC $848K
GASTON FAMILY HEALTH SERVICES, INC GASTONIA NC $809K
GASTON FAMILY HEALTH SERVICES, INC. NEWTON NC $723K
GASTON FAMILY HEALTH SERVICES, INC. LAWNDALE NC $702K
GASTON FAMILY HEALTH SERVICES, INC. HICKORY NC $689K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24,549 $873K
2019 23,085 $890K
2020 20,504 $839K
2021 45,434 $1.35M
2022 97,642 $1.53M
2023 92,735 $1.44M
2024 133,924 $2.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 62,765 46,544 $6.22M
99199 Unlisted special service, procedure or report 259,718 187,366 $1.41M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,448 4,366 $438K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,707 4,342 $437K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,872 2,977 $304K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,587 1,751 $162K
90472 Immunization administration, each additional vaccine (list separately) 7,617 5,804 $83K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 11,674 8,818 $76K
D0145 Oral evaluation for a patient under three years of age 971 834 $28K
90697 1,572 1,209 $19K
92551 10,337 7,768 $16K
99384 257 180 $16K
99381 285 158 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 559 504 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 422 383 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,171 1,779 $14K
D1206 Topical application of fluoride varnish 955 831 $12K
36415 Collection of venous blood by venipuncture 5,320 4,089 $12K
90677 769 714 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 755 658 $9K
83036 Hemoglobin; glycosylated (A1C) 926 861 $8K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 904 890 $8K
99173 10,586 7,924 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 600 521 $7K
90670 2,980 2,251 $7K
99383 111 83 $6K
96160 2,587 1,765 $6K
85018 4,200 3,206 $5K
90619 185 149 $4K
82948 1,177 1,087 $4K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 212 169 $3K
87428 43 43 $3K
87807 136 126 $2K
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 94 79 $2K
99401 300 194 $2K
90474 227 211 $1K
0001A 38 30 $1K
90710 1,307 968 $1K
96127 704 660 $1K
90734 274 149 $891.76
0002A 22 14 $715.00
90698 270 221 $623.00
90656 463 440 $573.00
97802 30 25 $490.20
90686 1,755 1,255 $432.10
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 12 $416.85
90633 1,845 1,421 $351.62
90460 Immunization administration through 18 years of age via any route, first or only component 1,504 1,124 $318.78
90651 1,111 775 $300.06
98967 22 12 $291.84
36416 1,087 888 $249.64
81002 97 89 $218.22
90715 116 65 $99.63
90473 325 186 $82.26
82962 31 27 $56.71
82044 17 15 $43.68
3078F 5,118 3,711 $13.71
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 59 58 $13.40
90461 991 722 $11.88
94760 81 68 $10.65
90680 1,738 1,363 $0.00
3074F 5,416 3,924 $0.00
1111F 176 162 $0.00
90647 83 75 $0.00
90723 393 348 $0.00
90744 25 24 $0.00
3008F 782 668 $0.00
99000 188 163 $0.00
3079F 49 45 $0.00
96150 82 68 $0.00
90620 36 24 $0.00
90696 121 92 $0.00
99174 91 59 $0.00
90700 138 107 $0.00
3077F 39 39 $0.00
90648 819 668 $0.00
90681 182 181 $0.00
90685 138 125 $0.00
99499 15 12 $0.00
90621 30 26 $0.00
99188 23 15 $0.00