Medicaid Provider Spending

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

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

NPI: 1295738920 · FAYETTEVILLE, NC 28304 · Pediatrics Physician · NPI assigned 05/27/2005

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

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

$6.61M
Total Medicaid Paid
317,593
Total Claims
278,393
Beneficiaries
47
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFISER, JOSEPH (VP MANAGED CARE AND REVENUE CYCLE)
NPI Enumeration Date05/27/2005

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
BLADEN HEALTHCARE, LLC ELIZABETHTOWN NC $5.01M
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 30,845 $865K
2019 32,285 $1.01M
2020 21,437 $822K
2021 53,992 $1.15M
2022 66,221 $1.03M
2023 67,144 $1.07M
2024 45,669 $666K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,611 9,560 $1.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,929 16,739 $899K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,707 6,870 $714K
99199 Unlisted special service, procedure or report 149,194 132,047 $563K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,207 7,280 $552K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,809 5,283 $539K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,019 4,437 $493K
90472 Immunization administration, each additional vaccine (list separately) 13,426 11,765 $372K
99460 4,463 3,823 $337K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19,177 16,889 $323K
99238 Hospital discharge day management, 30 minutes or less 4,265 3,638 $247K
D0145 Oral evaluation for a patient under three years of age 3,384 3,020 $111K
96110 Developmental screening, with scoring and documentation, per standardized instrument 11,346 10,158 $102K
99462 3,095 2,093 $101K
D1206 Topical application of fluoride varnish 3,387 2,995 $41K
90474 1,951 1,720 $32K
96127 5,983 5,310 $21K
90651 1,287 1,143 $20K
90734 991 880 $9K
99234 23 18 $2K
99221 17 14 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 53 51 $1K
99383 17 16 $1K
90686 2,742 2,507 $1K
90715 166 157 $684.00
90460 Immunization administration through 18 years of age via any route, first or only component 32 27 $586.31
90621 32 31 $517.89
92551 4,470 4,339 $469.05
99173 6,242 5,980 $419.89
90697 959 790 $292.70
90723 4,185 3,702 $160.64
90670 6,496 5,658 $155.37
90647 3,893 3,398 $154.77
90633 1,734 1,555 $34.80
96160 36 32 $34.73
85018 56 41 $5.84
90681 1,513 1,305 $0.69
90707 818 726 $0.38
90716 878 781 $0.35
90677 536 479 $0.00
90680 480 472 $0.00
90696 44 37 $0.00
90619 82 79 $0.00
J3490 Unclassified drugs 13 13 $0.00
90685 79 74 $0.00
90700 106 89 $0.00
T1015 Clinic visit/encounter, all-inclusive 660 372 $0.00