Physician
Bladen Healthcare, LLC
Bladen Healthcare, LLC was paid $5.01M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoBLADEN HEALTHCARE, LLC
ELIZABETHTOWN, NC 28337
ELIZABETHTOWN, NC 28337
33aNPI1255507737assigned 05/05/2008
33bProvider typeFamily Medicine Physician
28Total paid$5.01M
24GClaims208,620
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#14 of 960
Median peer was paid$135K
This provider vs. median37×
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 FISER, JOSEPH controls 20+ related entities in our dataset. Read more
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 | 15,778 | $590K | |
| 2019 | 23,899 | $574K | |
| 2020 | 15,346 | $509K | |
| 2021 | 44,906 | $1.01M | |
| 2022 | 60,439 | $932K | |
| 2023 | 28,301 | $523K | |
| 2024incomplete | 19,951 | $868K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 64% | 47,203 | 37,349 | $3.21M |
| 99199 | Unlisted special service, procedure or report | 9.2% | 88,621 | 60,146 | $460K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 4,851 | 4,004 | $366K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 4,089 | 3,265 | $298K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 1,874 | 1,389 | $140K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.7% | 6,505 | 5,291 | $137K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 9,288 | 7,600 | $117K |
| D0145 | Oral evaluation for a patient under three years of age | 1.9% | 2,816 | 2,317 | $95K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 7,296 | 5,654 | $60K |
| D1206 | Topical application of fluoride varnish | <1% | 2,651 | 2,174 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 465 | 344 | $31K |
| 96127 | <1% | 12,539 | 8,833 | $26K |
42 more codes
| 90474 | <1% | 499 | $6K | |
| 90670 | <1% | 3,305 | $6K | |
| 96161 | <1% | 1,431 | $5K | |
| 90697 | <1% | 585 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 91 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,238 | $2K |
| 0071A | <1% | 26 | $2K | |
| 90681 | <1% | 417 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 96160 | <1% | 336 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 18 | $1K |
| 90651 | <1% | 179 | $979.15 | |
| 99462 | <1% | 35 | $941.80 | |
| 90686 | <1% | 1,168 | $868.10 | |
| 99460 | <1% | 15 | $727.30 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 44 | $291.69 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 49 | $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 | <1% | 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 | <1% | 12 | $171.24 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $167.84 |
| 90633 | <1% | 1,735 | $141.58 | |
| 92551 | <1% | 1,691 | $45.08 | |
| 94760 | <1% | 14 | $27.69 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 59 | $17.04 |
| 99173 | <1% | 2,008 | $13.00 | |
| 90710 | 0% | 968 | $0.00 | |
| 90715 | 0% | 32 | $0.00 | |
| 90685 | 0% | 180 | $0.00 | |
| 92552 | 0% | 28 | $0.00 | |
| 90700 | 0% | 60 | $0.00 | |
| 90734 | 0% | 97 | $0.00 | |
| 90723 | 0% | 1,720 | $0.00 | |
| 90680 | 0% | 92 | $0.00 | |
| 90647 | 0% | 1,575 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 37 | $0.00 |
| 90696 | 0% | 118 | $0.00 | |
| 90677 | 0% | 174 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 166 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | $0.00 |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 81 | $0.00 |
| 90689 | 0% | 15 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 31 | $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 officialFISER, JOSEPH (VP MANAGED CARE AND REVENUE CYCLE)
Parent organizationCUMBERLAND COUNTY HOSPITAL SYSTEM INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.