Clinic
Neighborhealth Center, INC.
Neighborhealth Center, INC. was paid $3.32M by Medicaid between Sep 2018 and Dec 2024, across 63 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.
33Billing provider infoNEIGHBORHEALTH CENTER, INC.
RALEIGH, NC 27607
RALEIGH, NC 27607
33aNPI1255771119assigned 06/25/2013
33bProvider typePrimary Care Clinic/Center
28Total paid$3.32M
24GClaims160,161
24DCodes billed63
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#12 of 116
Median peer was paid$226K
This provider vs. median15×
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 | 33 | $529.92 | |
| 2019 | 3,374 | $135K | |
| 2020 | 7,793 | $496K | |
| 2021 | 26,245 | $1.13M | |
| 2022 | 53,967 | $1.10M | |
| 2023 | 37,339 | $242K | |
| 2024incomplete | 31,410 | $210K |
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 | 71% | 22,188 | 12,827 | $2.36M |
| 99199 | Unlisted special service, procedure or report | 20% | 114,777 | 58,679 | $661K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 875 | 699 | $63K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.0% | 725 | 422 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 381 | 311 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,823 | 1,998 | $27K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,309 | 978 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 290 | 185 | $14K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 570 | 317 | $11K |
| 99383 | <1% | 143 | 92 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 995 | 816 | $9K |
| 0012A | <1% | 141 | 138 | $8K |
51 more codes
| G9919 | Screening performed and positive and provision of recommendations | <1% | 417 | $8K |
| 0011A | <1% | 140 | $6K | |
| 99401 | <1% | 287 | $5K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 47 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 83 | $4K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 92 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 41 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 74 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,304 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 106 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 309 | $2K |
| 90474 | <1% | 122 | $2K | |
| 90674 | <1% | 219 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | $1K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 15 | $1K |
| 96161 | <1% | 450 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 14 | $1K |
| 81025 | <1% | 227 | $1K | |
| 0001A | <1% | 17 | $1K | |
| 99382 | <1% | 17 | $1K | |
| 99381 | <1% | 18 | $1K | |
| 92551 | <1% | 416 | $973.49 | |
| 0002A | <1% | 14 | $910.00 | |
| 0071A | <1% | 16 | $845.00 | |
| 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% | 47 | $840.40 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 185 | $694.56 |
| 90686 | <1% | 341 | $660.15 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 75 | $472.73 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 79 | $472.73 |
| 96127 | <1% | 985 | $440.64 | |
| 99173 | <1% | 513 | $323.78 | |
| 81002 | <1% | 122 | $284.47 | |
| 87210 | <1% | 24 | $72.60 | |
| 90744 | <1% | 286 | $26.61 | |
| 91301 | <1% | 303 | $2.00 | |
| J3490 | Unclassified drugs | <1% | 251 | $0.17 |
| 3074F | 0% | 2,721 | $0.00 | |
| 90698 | 0% | 419 | $0.00 | |
| 3079F | 0% | 295 | $0.00 | |
| 3008F | 0% | 164 | $0.00 | |
| 99441 | 0% | 45 | $0.00 | |
| 91307 | 0% | 16 | $0.00 | |
| 90716 | 0% | 33 | $0.00 | |
| 3078F | 0% | 2,362 | $0.00 | |
| 90670 | 0% | 654 | $0.00 | |
| 90633 | 0% | 224 | $0.00 | |
| 90681 | 0% | 120 | $0.00 | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 70 | $0.00 |
| 91300 | 0% | 84 | $0.00 | |
| 90473 | 0% | 32 | $0.00 | |
| 90672 | 0% | 32 | $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 officialCHEWNING, LARRY (INTERIM CEO)