Medicaid Provider Spending

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

BLADEN HEALTHCARE, LLC

NPI: 1255507737 · ELIZABETHTOWN, NC 28337 · Family Medicine Physician · NPI assigned 05/05/2008

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

Authorized official FISER, JOSEPH controls 20+ related entities in our dataset. Read more

$5.01M
Total Medicaid Paid
208,620
Total Claims
154,276
Beneficiaries
54
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFISER, JOSEPH (VP MANAGED CARE AND REVENUE CYCLE)
Parent OrganizationCUMBERLAND COUNTY HOSPITAL SYSTEM INC
NPI Enumeration Date05/05/2008

Related Entities

Other providers sharing the same authorized official: FISER, JOSEPH

ProviderCityStateTotal Paid
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $75.79M
CFVHS ED PHYSICIANS FAYETTEVILLE NC $26.24M
HOKE HEALTHCARE LLC RAEFORD NC $24.80M
HARNETT HEALTH SYSTEM, INC. DUNN NC $23.37M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $19.73M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $8.69M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $8.04M
BLADEN HEALTHCARE LLC ELIZABETHTOWN NC $7.78M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $7.71M
HARNETT HEALTH SYSTEM INC DUNN NC $6.94M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $6.61M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $4.82M
HOKE HEALTHCARE, LLC RAEFORD NC $2.73M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $2.70M
CFV SPECIALTY CARE BILLING SERVICES, LLC FAYETTEVILLE NC $2.33M
BLADEN HEALTHCARE LLC ELIZABETHTOWN NC $2.14M
CFV EXPRESS CARE BILLING SERVICES LLC FAYETTEVILLE NC $1.43M
HOKE HEALTHCARE, LLC RAEFORD NC $1.38M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $1.34M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC RAEFORD NC $953K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15,778 $590K
2019 23,899 $574K
2020 15,346 $509K
2021 44,906 $1.01M
2022 60,439 $932K
2023 28,301 $523K
2024 19,951 $868K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 47,203 37,349 $3.21M
99199 Unlisted special service, procedure or report 88,621 60,146 $460K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,851 4,004 $366K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,089 3,265 $298K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,874 1,389 $140K
90472 Immunization administration, each additional vaccine (list separately) 6,505 5,291 $137K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 9,288 7,600 $117K
D0145 Oral evaluation for a patient under three years of age 2,816 2,317 $95K
96110 Developmental screening, with scoring and documentation, per standardized instrument 7,296 5,654 $60K
D1206 Topical application of fluoride varnish 2,651 2,174 $40K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 465 344 $31K
96127 12,539 8,833 $26K
90474 499 374 $6K
90670 3,305 2,505 $6K
96161 1,431 1,205 $5K
90697 585 505 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 91 78 $2K
36415 Collection of venous blood by venipuncture 1,238 1,073 $2K
0071A 26 12 $2K
90681 417 309 $1K
99381 13 12 $1K
96160 336 274 $1K
99238 Hospital discharge day management, 30 minutes or less 18 17 $1K
90651 179 88 $979.15
99462 35 30 $941.80
90686 1,168 958 $868.10
99460 15 14 $727.30
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44 43 $291.69
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 49 31 $274.94
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 29 29 $189.40
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 12 12 $171.24
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 24 12 $167.84
90633 1,735 1,271 $141.58
92551 1,691 1,379 $45.08
94760 14 14 $27.69
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 59 37 $17.04
99173 2,008 1,633 $13.00
90710 968 664 $0.00
90715 32 14 $0.00
90685 180 171 $0.00
92552 28 19 $0.00
90700 60 53 $0.00
90734 97 43 $0.00
90723 1,720 1,252 $0.00
90680 92 90 $0.00
90647 1,575 1,154 $0.00
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 37 34 $0.00
90696 118 91 $0.00
90677 174 170 $0.00
J3490 Unclassified drugs 166 98 $0.00
G0008 Administration of influenza virus vaccine 27 27 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 81 73 $0.00
90689 15 15 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 31 27 $0.00