Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Southeastern Medical Oncology Center

Southeastern Medical Oncology Center was paid $3.91M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.

33Billing provider infoSOUTHEASTERN MEDICAL ONCOLOGY CENTER
GOLDSBORO, NC 27534
33aNPI1306828678assigned 11/14/2005
28Total paid$3.91M
24GClaims175,791
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in North Carolina

Rank by total paid#1 of 46
Median peer was paid$36K
This provider vs. median110×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201816,583$290K
201919,986$446K
202018,032$361K
202122,594$489K
202233,163$669K
202333,661$922K
2024incomplete31,772$732K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 22% 16,512 13,698 $840K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 13% 8,952 5,908 $509K
J1437 Injection, ferric derisomaltose, 10 mg 12% 231 183 $461K
J1439 Injection, ferric carboxymaltose, 1 mg 10% 727 574 $397K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.8% 10,322 9,002 $345K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 8.1% 4,796 3,552 $316K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 5.2% 43,513 32,134 $202K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4.1% 5,712 4,235 $160K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 3.4% 729 520 $132K
96367 3.0% 5,600 3,651 $117K
80053 Comprehensive metabolic panel 2.7% 21,511 16,241 $104K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.2% 9,459 7,220 $84K
29 more codes
J2469 Injection, palonosetron hcl, 25 mcg 1.2% 643 $48K
99204 Doctor's office visit, new patient (more involved) 1.2% 486 $48K
36415 Collection of venous blood by venipuncture <1% 25,441 $33K
82728 <1% 3,411 $26K
96375 Therapeutic injection; each additional sequential IV push <1% 1,380 $20K
83550 <1% 1,771 $10K
99232 Hospital visit by a doctor, follow-up day <1% 186 $9K
96417 <1% 211 $9K
83540 <1% 1,772 $7K
83735 <1% 1,632 $6K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 735 $6K
99203 Doctor's office visit, new patient (routine) <1% 72 $5K
96415 <1% 192 $4K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 36 $3K
96361 Intravenous infusion, hydration; each additional hour <1% 185 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 3,744 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 54 $1K
99443 <1% 15 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 4,670 $994.32
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 296 $731.36
90674 <1% 104 $394.52
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 28 $291.72
J9190 Injection, fluorouracil, 500 mg <1% 15 $205.01
J7030 Infusion, normal saline solution , 1000 cc <1% 167 $64.68
81001 <1% 12 $36.99
J3490 Unclassified drugs <1% 39 $0.60
J9271 Injection, pembrolizumab, 1 mg <1% 16 $0.03
J9999 Not otherwise classified, antineoplastic drugs 0% 360 $0.00
G0008 Administration of influenza virus vaccine 0% 54 $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 officialHOYT, TERESA (BUSINESS MANAGER)