Agency
Foothills Health District
Foothills Health District was paid $2.77M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 61% of everything it billed.
33Billing provider infoFOOTHILLS HEALTH DISTRICT
SPINDALE, NC 28160
SPINDALE, NC 28160
33aNPI1285791087assigned 01/02/2007
33bProvider typeCase Management Agency
28Total paid$2.77M
24GClaims385,975
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#86 of 195
Median peer was paid$2.05M
This provider vs. median1.3×
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 | 12,979 | $529K | |
| 2019 | 7,604 | $179K | |
| 2020 | 3,257 | $52K | |
| 2021 | 46,877 | $345K | |
| 2022 | 98,624 | $558K | |
| 2023 | 107,076 | $556K | |
| 2024incomplete | 109,558 | $549K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 61% | 345,333 | 338,858 | $1.69M |
| 59426 | 6.7% | 272 | 268 | $185K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 3.8% | 1,641 | 1,498 | $104K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 3.7% | 149 | 147 | $101K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.6% | 3,419 | 2,955 | $101K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 4,835 | 3,970 | $63K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 282 | 265 | $38K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 1,654 | 1,416 | $36K |
| 0001A | 1.3% | 775 | 619 | $36K | |
| 0002A | 1.2% | 699 | 553 | $34K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 718 | 507 | $31K |
| 81025 | 1.0% | 3,644 | 3,161 | $28K |
67 more codes
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 306 | $27K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 676 | $27K |
| D0120 | Dental checkup, returning patient | <1% | 921 | $21K |
| D1120 | Dental cleaning, child | <1% | 842 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 296 | $19K |
| D1351 | Sealant - per tooth | <1% | 682 | $15K |
| D1206 | Topical application of fluoride varnish | <1% | 1,088 | $15K |
| 0012A | <1% | 222 | $13K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 237 | $13K |
| T1002 | Rn services, up to 15 minutes | <1% | 254 | $12K |
| 59430 | <1% | 140 | $10K | |
| D1110 | Prophylaxis - adult | <1% | 309 | $10K |
| 0011A | <1% | 275 | $10K | |
| 59514 | <1% | 12 | $9K | |
| 90715 | <1% | 898 | $9K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 192 | $8K |
| 0072A | <1% | 130 | $7K | |
| 90686 | <1% | 1,212 | $6K | |
| 90734 | <1% | 1,368 | $6K | |
| 96127 | <1% | 833 | $6K | |
| D0272 | Bitewings - two radiographic images | <1% | 370 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 52 | $5K |
| 0071A | <1% | 118 | $5K | |
| 59425 | <1% | 13 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 167 | $5K |
| 81002 | <1% | 2,024 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 86 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 60 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 75 | $3K |
| 85018 | <1% | 1,302 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,161 | $2K |
| 90651 | <1% | 214 | $2K | |
| 0004A | <1% | 43 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 82 | $1K |
| 0064A | <1% | 19 | $1K | |
| 90688 | <1% | 302 | $894.75 | |
| 0124A | <1% | 19 | $845.00 | |
| 0031A | <1% | 16 | $837.62 | |
| 90716 | <1% | 73 | $807.39 | |
| 99401 | <1% | 25 | $650.58 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $149.34 |
| 90633 | <1% | 69 | $98.34 | |
| 82962 | <1% | 63 | $77.48 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 740 | $63.50 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 771 | $63.50 |
| 86703 | 0% | 334 | $0.00 | |
| 90713 | 0% | 27 | $0.00 | |
| 90710 | 0% | 82 | $0.00 | |
| 91300 | 0% | 1,677 | $0.00 | |
| 91312 | 0% | 19 | $0.00 | |
| S4993 | Contraceptive pills for birth control | 0% | 165 | $0.00 |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | 0% | 30 | $0.00 |
| 90707 | 0% | 33 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 90685 | 0% | 25 | $0.00 | |
| 86787 | 0% | 19 | $0.00 | |
| 91301 | 0% | 601 | $0.00 | |
| 91307 | 0% | 271 | $0.00 | |
| 90696 | 0% | 55 | $0.00 | |
| 91303 | 0% | 16 | $0.00 | |
| 87088 | 0% | 107 | $0.00 | |
| 86803 | 0% | 80 | $0.00 | |
| 80055 | 0% | 107 | $0.00 | |
| 85660 | 0% | 57 | $0.00 | |
| 86593 | 0% | 25 | $0.00 | |
| 86762 | 0% | 19 | $0.00 | |
| 91306 | 0% | 20 | $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 officialPOWELL, KAREN (LOCAL PUBLIC HEALTH DIRECTOR)
Parent organizationRUTHERFORD-POLK-MCDOWELL DISTRICT HEALTH DEPARTMENT