Physician
Moses Cone Affiliated Physicians, INC.
Moses Cone Affiliated Physicians, INC. was paid $3.94M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 22% of everything it billed.
33Billing provider infoMOSES CONE AFFILIATED PHYSICIANS, INC.
GREENSBORO, NC 27408
GREENSBORO, NC 27408
33aNPI1326346602assigned 03/10/2011
33bProvider typePediatrics Physician
28Total paid$3.94M
24GClaims235,027
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#101 of 433
Median peer was paid$942K
This provider vs. median4.2×
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 HAMMOND, SALLY 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 | 11,510 | $358K | |
| 2019 | 12,687 | $464K | |
| 2020 | 11,235 | $382K | |
| 2021 | 32,751 | $556K | |
| 2022 | 52,198 | $665K | |
| 2023 | 55,746 | $743K | |
| 2024incomplete | 58,900 | $768K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 22% | 143,978 | 72,753 | $869K |
| 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 | 14% | 6,133 | 5,755 | $559K |
| 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% | 9,143 | 8,421 | $531K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 5,135 | 4,828 | $481K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 4,574 | 3,955 | $401K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.1% | 12,277 | 11,439 | $241K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 2,488 | 2,374 | $234K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.2% | 6,294 | 5,936 | $165K |
| D0145 | Oral evaluation for a patient under three years of age | 1.8% | 2,078 | 1,944 | $70K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 6,071 | 5,714 | $69K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 4,178 | 2,000 | $56K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 1,219 | 1,163 | $44K |
43 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 1,208 | $44K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 373 | $38K |
| D1206 | Topical application of fluoride varnish | <1% | 2,078 | $31K |
| 90474 | <1% | 1,202 | $24K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,183 | $16K |
| 96127 | <1% | 3,277 | $14K | |
| 99401 | <1% | 343 | $8K | |
| 99442 | <1% | 129 | $7K | |
| 87807 | <1% | 461 | $6K | |
| 83655 | <1% | 444 | $6K | |
| 0072A | <1% | 53 | $3K | |
| 99173 | <1% | 3,979 | $3K | |
| 90686 | <1% | 3,979 | $3K | |
| 92551 | <1% | 3,151 | $2K | |
| 0071A | <1% | 35 | $2K | |
| 96161 | <1% | 506 | $2K | |
| 0001A | <1% | 27 | $1K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 30 | $1K |
| 99051 | <1% | 40 | $1K | |
| 85018 | <1% | 644 | $1K | |
| 90656 | <1% | 584 | $452.11 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 28 | $440.67 |
| 90671 | <1% | 236 | $229.59 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $142.52 |
| 90633 | <1% | 505 | $120.79 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 28 | $71.11 |
| 90697 | <1% | 417 | $0.51 | |
| 90698 | <1% | 1,692 | $0.15 | |
| 90677 | <1% | 116 | $0.09 | |
| 90680 | <1% | 1,232 | $0.06 | |
| 90670 | <1% | 2,194 | $0.01 | |
| 3078F | 0% | 217 | $0.00 | |
| 91308 | 0% | 13 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 90710 | 0% | 45 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 91307 | 0% | 143 | $0.00 | |
| 90744 | 0% | 290 | $0.00 | |
| 90651 | 0% | 209 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 12 | $0.00 |
| 3074F | 0% | 227 | $0.00 | |
| 90619 | 0% | 46 | $0.00 | |
| 90696 | 0% | 42 | $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 officialHAMMOND, SALLY (EXECUTIVE DIRECTOR, CHMG OPERATIONS)
Parent organizationTHE MOSES H. CONE MEMORIAL HOSPITAL
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.