Physician
Cumberland County Hospital System INC
Cumberland County Hospital System INC was paid $6.61M by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 17% of everything it billed.
33Billing provider infoCUMBERLAND COUNTY HOSPITAL SYSTEM INC
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1295738920assigned 05/27/2005
33bProvider typePediatrics Physician
28Total paid$6.61M
24GClaims317,593
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#62 of 433
Median peer was paid$942K
This provider vs. median7.0×
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 | 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 | |
| 2024incomplete | 45,669 | $666K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 12,611 | 9,560 | $1.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 19,929 | 16,739 | $899K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 7,707 | 6,870 | $714K |
| 99199 | Unlisted special service, procedure or report | 8.5% | 149,194 | 132,047 | $563K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.3% | 8,207 | 7,280 | $552K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.2% | 5,809 | 5,283 | $539K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.5% | 5,019 | 4,437 | $493K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.6% | 13,426 | 11,765 | $372K |
| 99460 | 5.1% | 4,463 | 3,823 | $337K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.9% | 19,177 | 16,889 | $323K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.7% | 4,265 | 3,638 | $247K |
| D0145 | Oral evaluation for a patient under three years of age | 1.7% | 3,384 | 3,020 | $111K |
35 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 11,346 | $102K |
| 99462 | 1.5% | 3,095 | $101K | |
| D1206 | Topical application of fluoride varnish | <1% | 3,387 | $41K |
| 90474 | <1% | 1,951 | $32K | |
| 96127 | <1% | 5,983 | $21K | |
| 90651 | <1% | 1,287 | $20K | |
| 90734 | <1% | 991 | $9K | |
| 99234 | <1% | 23 | $2K | |
| 99221 | <1% | 17 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $1K |
| 99383 | <1% | 17 | $1K | |
| 90686 | <1% | 2,742 | $1K | |
| 90715 | <1% | 166 | $684.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 32 | $586.31 |
| 90621 | <1% | 32 | $517.89 | |
| 92551 | <1% | 4,470 | $469.05 | |
| 99173 | <1% | 6,242 | $419.89 | |
| 90697 | <1% | 959 | $292.70 | |
| 90723 | <1% | 4,185 | $160.64 | |
| 90670 | <1% | 6,496 | $155.37 | |
| 90647 | <1% | 3,893 | $154.77 | |
| 90633 | <1% | 1,734 | $34.80 | |
| 96160 | <1% | 36 | $34.73 | |
| 85018 | <1% | 56 | $5.84 | |
| 90681 | <1% | 1,513 | $0.69 | |
| 90707 | <1% | 818 | $0.38 | |
| 90716 | <1% | 878 | $0.35 | |
| 90677 | 0% | 536 | $0.00 | |
| 90680 | 0% | 480 | $0.00 | |
| 90696 | 0% | 44 | $0.00 | |
| 90619 | 0% | 82 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 13 | $0.00 |
| 90685 | 0% | 79 | $0.00 | |
| 90700 | 0% | 106 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 660 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.