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

The Moses H Cone Memorial Hospital Operating Corporation

The Moses H Cone Memorial Hospital Operating Corporation was paid $21.68M by Medicaid between Jan 2018 and Dec 2024, across 140 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 15% of everything it billed.

33Billing provider infoTHE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION
GREENSBORO, NC 27401
33aNPI1356372064assigned 07/05/2006
33bProvider typeMental Health Counselor
28Total paid$21.68M
24GClaims897,931
24DCodes billed140
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in North Carolina

Rank by total paid#7 of 321
Median peer was paid$192K
This provider vs. median113×

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$250K$500K$750K2018201920202021202220232024
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
201833,510$1.99M
201929,626$1.67M
202027,324$1.64M
2021106,284$2.94M
2022171,418$3.24M
2023227,094$4.28M
2024incomplete302,675$5.93M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 15% 526,618 268,184 $3.26M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 73,827 57,592 $2.93M
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% 47,664 38,046 $2.43M
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 8.3% 1,444 1,240 $1.81M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 5.6% 23,974 8,830 $1.22M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.0% 16,760 12,886 $1.08M
99238 Hospital discharge day management, 30 minutes or less 4.8% 18,292 15,874 $1.05M
99460 3.6% 10,504 9,211 $773K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 3.5% 10,024 8,263 $767K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.5% 5,499 4,673 $547K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.5% 12,900 10,648 $535K
99222 Initial hospital care, per day, moderate complexity 2.0% 4,335 3,467 $433K
128 more codes
59025 Fetal non-stress test 1.5% 15,670 $321K
99239 Hospital discharge day management, more than 30 minutes 1.4% 3,965 $309K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1.3% 524 $289K
90834 Psychotherapy session, about 45 minutes 1.1% 5,175 $249K
99462 1.1% 7,399 $242K
99204 Doctor's office visit, new patient (more involved) <1% 2,132 $197K
90832 Psychotherapy session, about 30 minutes <1% 4,346 $159K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 5,438 $159K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 2,102 $151K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,855 $147K
99223 Prolong inpt eval add15 m <1% 849 $137K
99442 <1% 5,251 $137K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,300 $135K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 2,837 $130K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 4,729 $128K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 1,593 $121K
90837 Psychotherapy session, about an hour <1% 1,492 $113K
90791 Psychiatric diagnostic evaluation <1% 1,186 $112K
54150 <1% 661 $107K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,257 $104K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan <1% 781 $98K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,708 $88K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,421 $80K
S0280 Medical home program, comprehensive care coordination and planning, initial plan <1% 1,646 $70K
76819 Fetal biophysical profile; without non-stress testing <1% 2,431 $66K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 5,901 $62K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 764 $57K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,102 $51K
59514 <1% 515 $51K
81025 <1% 8,289 $49K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 2,018 $41K
99205 Prolong outpt/office vis <1% 317 $40K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 504 $40K
99443 <1% 774 $38K
76813 <1% 430 $37K
90792 Psychiatric diagnostic evaluation with medical services <1% 297 $36K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 3,135 $36K
76801 <1% 349 $30K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 913 $29K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 695 $27K
J1756 Injection, iron sucrose, 1 mg <1% 691 $26K
99221 <1% 322 $22K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 1,448 $19K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,707 $19K
76820 <1% 1,228 $19K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 576 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 203 $17K
93295 <1% 632 $14K
93296 <1% 1,302 $14K
96127 <1% 3,903 $14K
93000 <1% 1,484 $14K
87428 <1% 233 $13K
99217 <1% 244 $13K
99441 <1% 450 $10K
83036 Hemoglobin; glycosylated (A1C) <1% 1,978 $9K
90686 <1% 773 $9K
98968 <1% 333 $8K
90715 <1% 244 $8K
99285 Emergency room visit (most serious) <1% 60 $8K
76818 <1% 124 $8K
81003 <1% 3,441 $6K
93298 <1% 564 $5K
99459 <1% 522 $5K
96156 <1% 69 $5K
99417 Prolong home eval add 15m <1% 69 $5K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 25 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 461 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 325 $4K
00170 Anesthesia for intraoral procedures, including biopsy <1% 44 $4K
01961 <1% 32 $4K
71046 Radiologic examination, chest; 2 views <1% 264 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 32 $3K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 57 $3K
99253 <1% 34 $3K
90656 <1% 171 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 44 $2K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 74 $2K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 107 $2K
99218 <1% 23 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 27 $2K
99401 <1% 68 $2K
59430 <1% 18 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 152 $2K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 109 $1K
93294 <1% 143 $1K
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% 523 $1K
81002 <1% 770 $1K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 236 $1K
90847 Family psychotherapy with the patient present, 50 minutes <1% 14 $936.92
36415 Collection of venous blood by venipuncture <1% 362 $713.14
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 15 $630.44
82962 <1% 338 $547.23
00731 <1% 14 $509.48
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 85 $325.18
82948 <1% 1,387 $247.89
20553 <1% 14 $181.61
S9442 Birthing classes, non-physician provider, per session <1% 38 $157.68
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 17 $143.32
51798 <1% 12 $143.24
82947 <1% 133 $138.24
87210 <1% 31 $131.98
93356 <1% 77 $124.78
94726 <1% 31 $103.12
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 45 $100.98
82270 <1% 32 $72.58
76376 <1% 12 $66.64
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 36 $51.29
85610 <1% 33 $41.73
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 78 $32.58
93793 <1% 41 $13.10
0503F <1% 107 $3.33
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 16 $1.25
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg <1% 29 $0.02
J0401 Injection, aripiprazole (abilify maintena), 1 mg <1% 69 $0.01
1036F 0% 412 $0.00
0500F 0% 126 $0.00
3044F 0% 161 $0.00
J3490 Unclassified drugs 0% 60 $0.00
3074F 0% 1,298 $0.00
0501F 0% 135 $0.00
36416 0% 187 $0.00
3079F 0% 150 $0.00
G0008 Administration of influenza virus vaccine 0% 26 $0.00
96150 0% 21 $0.00
3078F 0% 940 $0.00
1159F 0% 354 $0.00
3077F 0% 42 $0.00
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 0% 22 $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 officialAKIN, TERRENCE (CHIEF EXECUTIVE OFFICER)
Parent organizationTHE MOSES H. CONE MEMORIAL HOSPITAL