Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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NP / PA

MT Zion Medical and Nursing Services, PA

MT Zion Medical and Nursing Services, PA was paid $2.15M by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99336, — 24% of everything it billed.

33Billing provider infoMT ZION MEDICAL AND NURSING SERVICES, PA
MATTHEWS, NC 28105
33aNPI1316160641assigned 04/11/2007
28Total paid$2.15M
24GClaims130,001
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Nurse Practitioner providers in North Carolina

Rank by total paid#6 of 147
Median peer was paid$12K
This provider vs. median186×

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$25K$50K$75K2018201920202021202220232024
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
201812,389$461K
201911,628$285K
20208,365$241K
202115,341$275K
202222,382$260K
202325,753$284K
2024incomplete34,143$341K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99336 24% 17,317 9,722 $523K
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 23% 8,970 6,303 $484K
99199 Unlisted special service, procedure or report 20% 65,072 37,077 $419K
99349 11% 11,651 7,413 $238K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 7.8% 937 684 $168K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 7.7% 801 147 $166K
99348 2.1% 3,988 2,559 $46K
99327 <1% 302 180 $13K
83036 Hemoglobin; glycosylated (A1C) <1% 2,446 1,782 $12K
80061 Lipid panel <1% 1,482 1,128 $10K
99407 <1% 2,083 1,266 $10K
81003 <1% 4,092 2,772 $6K
30 more codes
85027 <1% 1,678 $6K
99490 Ccm add 20min <1% 1,331 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 353 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 86 $4K
36415 Collection of venous blood by venipuncture <1% 4,172 $4K
99335 <1% 216 $4K
99213 Doctor's office visit, returning patient (routine) <1% 100 $4K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 251 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 211 $2K
99442 <1% 176 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 183 $2K
82962 <1% 1,026 $2K
99204 Doctor's office visit, new patient (more involved) <1% 15 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 $701.28
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 20 $525.00
90472 Immunization administration, each additional vaccine (list separately) <1% 19 $501.21
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 41 $495.90
99487 Ccm add 20min <1% 65 $321.01
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). <1% 79 $204.27
99334 <1% 20 $197.86
92551 <1% 80 $192.48
92552 <1% 125 $170.50
93000 <1% 12 $147.06
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 26 $137.56
99496 <1% 40 $121.54
99406 <1% 16 $60.20
80305 <1% 34 $54.44
99173 <1% 387 $30.91
90687 0% 14 $0.00
90686 0% 71 $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 officialFOMUNUNG, COLLINS (OWNER)