Physician
Gaston Family Health Services, INC.
Gaston Family Health Services, INC. was paid $2.80M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoGASTON FAMILY HEALTH SERVICES, INC.
HICKORY, NC 28601
HICKORY, NC 28601
33aNPI1407133069assigned 11/10/2011
33bProvider typeFamily Medicine Physician
28Total paid$2.80M
24GClaims119,217
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#39 of 960
Median peer was paid$135K
This provider vs. median21×
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
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 | 5,343 | $353K | |
| 2019 | 4,977 | $326K | |
| 2020 | 3,903 | $254K | |
| 2021 | 13,451 | $372K | |
| 2022 | 26,452 | $435K | |
| 2023 | 29,445 | $494K | |
| 2024incomplete | 35,646 | $568K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 78% | 27,134 | 21,667 | $2.18M |
| 99199 | Unlisted special service, procedure or report | 15% | 76,254 | 50,255 | $433K |
| 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 | 4.2% | 3,928 | 3,076 | $119K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 3,443 | 2,675 | $66K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 778 | 668 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,259 | 1,011 | $2K |
| 81003 | <1% | 583 | 537 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | 13 | $952.32 |
| 96127 | <1% | 784 | 674 | $809.97 | |
| 92551 | <1% | 459 | 392 | $645.17 | |
| 99173 | <1% | 303 | 271 | $428.23 | |
| 80050 | General health panel | <1% | 15 | 14 | $135.52 |
7 more codes
| 80053 | Comprehensive metabolic panel | <1% | 14 | $96.66 |
| 90656 | <1% | 16 | $59.63 | |
| 90686 | <1% | 290 | $39.16 | |
| 99000 | 0% | 3,792 | $0.00 | |
| 99499 | 0% | 111 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 13 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 26 | $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 officialSPENCER, ROBERT (CEO)
Parent organizationCATAWBA VALLEY MEDICAL GROUP, INC.
| Provider | Location | Paid |
|---|---|---|
| Spencer Rodriguez Podiatry Corporation | Ladera Ranch, CA | $325.13 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.