Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOSES CONE AFFILIATED PHYSICIANS, INC.

NPI: 1326346602 · GREENSBORO, NC 27408 · Pediatrics Physician · NPI assigned 03/10/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HAMMOND, SALLY controls 20+ related entities in our dataset. Read more

$3.94M
Total Medicaid Paid
235,027
Total Claims
155,781
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAMMOND, SALLY (EXECUTIVE DIRECTOR, CHMG OPERATIONS)
Parent OrganizationTHE MOSES H. CONE MEMORIAL HOSPITAL
NPI Enumeration Date03/10/2011

Related Entities

Other providers sharing the same authorized official: HAMMOND, SALLY

ProviderCityStateTotal Paid
ALAMANCE REGIONAL MEDICAL CENTER, INC. BURLINGTON NC $30.90M
MOSES CONE AFFILIATED PHYSICIANS, INC. HIGH POINT NC $5.81M
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $4.85M
MOSES CONE PHYSICIAN SERVICES, INC REIDSVILLE NC $4.39M
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $3.94M
MOSES CONE MEDICAL SERVICES, INC. MADISON NC $2.01M
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $1.49M
ARMC PHYSICIANS CARE, INC. BURLINGTON NC $675K
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $410K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $404K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $263K
MOSES CONE PHYSICIAN SERVICES, INC. REIDSVILLE NC $256K
MOSES CONE AFFILIATED PHYSICIANS, INC. ASHEBORO NC $190K
MOSES CONE PHYSICIAN SERVICES, INC BURLINGTON NC $176K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $150K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $106K
MOSES CONE AFFILIATED PHYSICIANS, INC. BURLINGTON NC $67K
MOSES CONE AFFILIATED PHYSICIANS, INC. ASHEBORO NC $50K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $47K
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 58,900 $768K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 143,978 72,753 $869K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,133 5,755 $559K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,143 8,421 $531K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,135 4,828 $481K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,574 3,955 $401K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,277 11,439 $241K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,488 2,374 $234K
90472 Immunization administration, each additional vaccine (list separately) 6,294 5,936 $165K
D0145 Oral evaluation for a patient under three years of age 2,078 1,944 $70K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,071 5,714 $69K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,178 2,000 $56K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,219 1,163 $44K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,208 1,127 $44K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 373 361 $38K
D1206 Topical application of fluoride varnish 2,078 1,944 $31K
90474 1,202 1,130 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,183 1,124 $16K
96127 3,277 3,101 $14K
99401 343 270 $8K
99442 129 121 $7K
87807 461 422 $6K
83655 444 414 $6K
0072A 53 49 $3K
99173 3,979 3,802 $3K
90686 3,979 3,639 $3K
92551 3,151 3,005 $2K
0071A 35 35 $2K
96161 506 441 $2K
0001A 27 25 $1K
90832 Psychotherapy, 30 minutes with patient 30 26 $1K
99051 40 40 $1K
85018 644 595 $1K
90656 584 540 $452.11
90460 Immunization administration through 18 years of age via any route, first or only component 28 25 $440.67
90671 236 225 $229.59
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 14 $142.52
90633 505 455 $120.79
36415 Collection of venous blood by venipuncture 28 24 $71.11
90697 417 373 $0.51
90698 1,692 1,629 $0.15
90677 116 113 $0.09
90680 1,232 1,161 $0.06
90670 2,194 2,054 $0.01
3078F 217 217 $0.00
91308 13 13 $0.00
90715 13 13 $0.00
90710 45 40 $0.00
90685 14 12 $0.00
91307 143 129 $0.00
90744 290 271 $0.00
90651 209 197 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 12 12 $0.00
3074F 227 227 $0.00
90619 46 46 $0.00
90696 42 38 $0.00