Lab
NC Dept of Health and Human Service
NC Dept of Health and Human Service was paid $16.88M by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 87389, Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies — 29% of everything it billed.
33Billing provider infoNC DEPT OF HEALTH AND HUMAN SERVICE
RALEIGH, NC 27607
RALEIGH, NC 27607
33aNPI1235290651assigned 12/12/2006
33bProvider typeClinical Medical Laboratory
28Total paid$16.88M
24GClaims2,532,138
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in North Carolina
Rank by total paid#12 of 128
Median peer was paid$268K
This provider vs. median63×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 549,087 | $3.94M | |
| 2019 | 536,469 | $3.53M | |
| 2020 | 418,599 | $3.54M | |
| 2021 | 289,830 | $2.30M | |
| 2022 | 267,163 | $1.60M | |
| 2023 | 318,702 | $1.44M | |
| 2024incomplete | 152,288 | $527K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 29% | 665,593 | 527,948 | $4.83M |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 19% | 348,818 | 273,515 | $3.20M |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 19% | 348,937 | 273,515 | $3.18M |
| 83655 | 11% | 145,998 | 142,331 | $1.94M | |
| 86803 | 3.2% | 131,906 | 119,583 | $540K | |
| 86592 | 2.5% | 326,753 | 259,683 | $414K | |
| 83020 | 2.4% | 33,680 | 33,191 | $400K | |
| 86762 | 2.3% | 28,800 | 28,398 | $396K | |
| 86593 | 2.3% | 295,097 | 234,721 | $391K | |
| 87340 | 2.1% | 52,484 | 50,569 | $354K | |
| U0001 | Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | 1.5% | 36,580 | 30,909 | $248K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.4% | 4,622 | 4,252 | $232K |
42 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 10,639 | $123K |
| 87529 | <1% | 13,291 | $78K | |
| 86706 | <1% | 17,448 | $66K | |
| 86780 | <1% | 18,549 | $64K | |
| 83021 | <1% | 3,566 | $63K | |
| 87521 | Neg quan hep c or qual rna | <1% | 9,447 | $52K |
| 86704 | <1% | 6,194 | $45K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 1,358 | $39K |
| 87501 | <1% | 1,250 | $22K | |
| 83498 | <1% | 667 | $22K | |
| 87077 | <1% | 9,975 | $21K | |
| 87116 | <1% | 7,305 | $18K | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 1,013 | $17K |
| 82775 | <1% | 667 | $17K | |
| 82261 | <1% | 667 | $13K | |
| 82139 | <1% | 667 | $13K | |
| 82017 | <1% | 667 | $13K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 667 | $13K |
| 83520 | <1% | 667 | $10K | |
| 82760 | <1% | 667 | $9K | |
| 84437 | <1% | 667 | $5K | |
| 87252 | <1% | 237 | $3K | |
| 86790 | <1% | 226 | $3K | |
| 87206 | <1% | 1,253 | $2K | |
| 86789 | <1% | 193 | $2K | |
| 86788 | <1% | 185 | $2K | |
| 86653 | <1% | 193 | $1K | |
| 86651 | <1% | 193 | $1K | |
| 86652 | <1% | 193 | $1K | |
| 86654 | <1% | 193 | $1K | |
| 87149 | <1% | 230 | $1K | |
| 86757 | <1% | 179 | $936.78 | |
| 87177 | <1% | 80 | $685.10 | |
| 87140 | <1% | 110 | $589.05 | |
| 87147 | <1% | 219 | $558.54 | |
| 86666 | <1% | 179 | $492.96 | |
| 87081 | <1% | 53 | $261.00 | |
| 87045 | <1% | 55 | $234.40 | |
| 86705 | <1% | 44 | $233.92 | |
| 87341 | <1% | 16 | $115.60 | |
| 86703 | 0% | 2,577 | $0.00 | |
| 87535 | 0% | 224 | $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 officialSHONE, SCOTT (LABORATORY DIRECTOR)
Parent organizationSTATE OF NC DIVISION OF HEALTH SERVICES