Agency
Craven County
Craven County was paid $10.98M by Medicaid between Jan 2018 and Dec 2024, across 147 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 28% of everything it billed.
33Billing provider infoCRAVEN COUNTY
NEW BERN, NC 28560
NEW BERN, NC 28560
33aNPI1295801827assigned 11/27/2006
33bProvider typeCase Management Agency
28Total paid$10.98M
24GClaims893,068
24DCodes billed147
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#27 of 195
Median peer was paid$2.05M
This provider vs. median5.3×
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 | 46,597 | $1.04M | |
| 2019 | 43,038 | $1.06M | |
| 2020 | 32,519 | $903K | |
| 2021 | 87,507 | $1.54M | |
| 2022 | 209,473 | $2.02M | |
| 2023 | 219,796 | $2.04M | |
| 2024incomplete | 254,138 | $2.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 28% | 577,759 | 435,216 | $3.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 21,569 | 17,381 | $1.40M |
| 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 | 11% | 17,352 | 12,076 | $1.20M |
| 59426 | 4.0% | 566 | 494 | $434K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.0% | 2,644 | 2,179 | $328K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 2.8% | 1,939 | 1,731 | $303K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 2,483 | 1,407 | $278K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.4% | 9,001 | 8,743 | $269K |
| 59430 | 2.2% | 1,938 | 1,729 | $244K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.8% | 7,091 | 6,901 | $202K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 10,402 | 10,081 | $183K |
| D1351 | Sealant - per tooth | 1.7% | 5,963 | 1,662 | $181K |
135 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 3,650 | $178K |
| D0330 | Panoramic radiographic image | 1.4% | 2,454 | $153K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 11,500 | $145K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.2% | 3,266 | $135K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 1,375 | $128K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.1% | 5,193 | $122K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,510 | $118K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,600 | $107K |
| D0272 | Bitewings - two radiographic images | <1% | 5,206 | $105K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13,178 | $102K |
| D2140 | <1% | 1,192 | $89K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,002 | $85K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,678 | $77K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 4,622 | $74K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,355 | $64K |
| T1002 | Rn services, up to 15 minutes | <1% | 1,763 | $62K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 2,242 | $60K |
| D1110 | Prophylaxis - adult | <1% | 1,445 | $60K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 4,472 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 636 | $50K |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 5,166 | $44K |
| 90837 | Psychotherapy session, about an hour | <1% | 606 | $43K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 535 | $42K |
| 81025 | <1% | 5,355 | $40K | |
| 96127 | <1% | 8,623 | $38K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,094 | $38K |
| 80061 | Lipid panel | <1% | 3,645 | $37K |
| 86787 | <1% | 2,734 | $34K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 362 | $33K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 460 | $31K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,302 | $30K |
| 86850 | <1% | 2,605 | $28K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 325 | $27K |
| 82947 | <1% | 5,674 | $24K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,657 | $23K |
| 36415 | Collection of venous blood by venipuncture | <1% | 15,604 | $22K |
| 99205 | Prolong outpt/office vis | <1% | 267 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 254 | $20K |
| 82950 | <1% | 4,085 | $20K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 312 | $20K |
| 80053 | Comprehensive metabolic panel | <1% | 2,934 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,679 | $17K |
| 87210 | <1% | 3,256 | $16K | |
| 86592 | <1% | 3,140 | $15K | |
| 81002 | <1% | 12,858 | $14K | |
| 90715 | <1% | 775 | $13K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,445 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 798 | $11K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 61 | $11K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 34 | $11K |
| 87081 | <1% | 1,681 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 119 | $9K |
| 99385 | <1% | 53 | $8K | |
| 96160 | <1% | 2,399 | $8K | |
| 86900 | <1% | 2,503 | $7K | |
| 86901 | <1% | 2,501 | $7K | |
| 59025 | Fetal non-stress test | <1% | 152 | $6K |
| 80050 | General health panel | <1% | 628 | $6K |
| 92587 | <1% | 5,009 | $6K | |
| 82105 | <1% | 591 | $5K | |
| 90713 | <1% | 117 | $5K | |
| 81003 | <1% | 4,315 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 900 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 30 | $4K |
| 90651 | <1% | 562 | $4K | |
| 86803 | <1% | 458 | $4K | |
| 85018 | <1% | 1,312 | $4K | |
| 90686 | <1% | 3,391 | $3K | |
| 90734 | <1% | 729 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 68 | $3K |
| 99383 | <1% | 31 | $2K | |
| 87400 | <1% | 164 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 5,208 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 5,214 | $2K |
| 99381 | <1% | 17 | $2K | |
| 96161 | <1% | 886 | $2K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 4,972 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 37 | $1K |
| 90474 | <1% | 94 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $996.78 |
| 90746 | <1% | 13 | $921.20 | |
| D7111 | <1% | 16 | $907.52 | |
| 99173 | <1% | 6,513 | $795.49 | |
| 90480 | <1% | 12 | $780.00 | |
| 90620 | <1% | 148 | $525.00 | |
| 69210 | <1% | 13 | $518.44 | |
| 81001 | <1% | 246 | $445.10 | |
| 82607 | <1% | 15 | $369.11 | |
| 82746 | <1% | 15 | $359.91 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 47 | $321.53 |
| 82728 | <1% | 15 | $308.12 | |
| 90647 | <1% | 369 | $248.04 | |
| 90656 | <1% | 206 | $243.36 | |
| 83550 | <1% | 15 | $213.99 | |
| 86762 | <1% | 1,555 | $199.93 | |
| 82951 | <1% | 12 | $196.44 | |
| 90473 | <1% | 14 | $178.23 | |
| 83540 | <1% | 15 | $158.73 | |
| 86593 | <1% | 1,910 | $139.95 | |
| 87340 | <1% | 1,550 | $129.46 | |
| 83655 | <1% | 418 | $128.10 | |
| 85045 | <1% | 15 | $98.04 | |
| 83020 | <1% | 683 | $78.84 | |
| 82465 | <1% | 26 | $71.52 | |
| 90633 | <1% | 641 | $46.00 | |
| 94760 | <1% | 149 | $2.13 | |
| 3079F | 0% | 252 | $0.00 | |
| 0501F | 0% | 1,459 | $0.00 | |
| 3074F | 0% | 249 | $0.00 | |
| 0500F | 0% | 1,467 | $0.00 | |
| 90680 | 0% | 92 | $0.00 | |
| 90723 | 0% | 535 | $0.00 | |
| 1036F | 0% | 567 | $0.00 | |
| 82677 | 0% | 208 | $0.00 | |
| 1034F | 0% | 32 | $0.00 | |
| 0503F | 0% | 923 | $0.00 | |
| 3075F | 0% | 80 | $0.00 | |
| 90677 | 0% | 135 | $0.00 | |
| 90696 | 0% | 61 | $0.00 | |
| 3080F | 0% | 87 | $0.00 | |
| 3044F | 0% | 57 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 12 | $0.00 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 0% | 12 | $0.00 |
| 90710 | 0% | 200 | $0.00 | |
| 84702 | 0% | 406 | $0.00 | |
| 90670 | 0% | 744 | $0.00 | |
| 3077F | 0% | 288 | $0.00 | |
| 4004F | 0% | 107 | $0.00 | |
| 3078F | 0% | 280 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 12 | $0.00 |
| 86336 | 0% | 208 | $0.00 | |
| 81420 | Fetal chromosomal aneuploidy genomic sequence analysis panel | 0% | 38 | $0.00 |
| 90672 | 0% | 30 | $0.00 | |
| 90700 | 0% | 14 | $0.00 | |
| 1032F | 0% | 38 | $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 officialHARRELSON, DAVID (CRAVEN COUNTY HEALTH DIRECTOR)
Parent organizationCRAVEN COUNTY