Clinic
County of Burke
County of Burke was paid $1.53M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 77% of everything it billed.
33Billing provider infoCOUNTY OF BURKE
MORGANTON, NC 28655
MORGANTON, NC 28655
33aNPI1457356651assigned 06/15/2005
33bProvider typeCommunity Health Clinic/Center
28Total paid$1.53M
24GClaims245,312
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in North Carolina
Rank by total paid#11 of 22
Median peer was paid$795K
This provider vs. median1.9×
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 | 4,041 | $48K | |
| 2019 | 5,038 | $80K | |
| 2020 | 4,216 | $77K | |
| 2021 | 15,317 | $159K | |
| 2022 | 68,073 | $442K | |
| 2023 | 76,601 | $367K | |
| 2024incomplete | 72,026 | $355K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 77% | 219,372 | 197,091 | $1.17M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,662 | 1,393 | $176K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.7% | 2,327 | 1,614 | $57K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.5% | 782 | 498 | $24K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 126 | 102 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 1,975 | 1,323 | $18K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 851 | 641 | $13K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 637 | 442 | $12K |
| 81025 | <1% | 820 | 570 | $5K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,356 | 1,435 | $5K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 45 | 40 | $5K |
| 99385 | <1% | 36 | 30 | $4K |
34 more codes
| 81000 | <1% | 1,671 | $4K | |
| 85018 | <1% | 1,460 | $3K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,588 | $2K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,575 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 15 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 76801 | <1% | 16 | $1K | |
| 86780 | <1% | 166 | $1K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 130 | $832.82 |
| 86703 | <1% | 148 | $701.75 | |
| 90688 | <1% | 178 | $324.00 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 494 | $317.20 |
| 81002 | <1% | 189 | $233.52 | |
| 90734 | <1% | 234 | $133.90 | |
| 86803 | <1% | 144 | $54.45 | |
| 87340 | <1% | 409 | $41.54 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 473 | $41.04 |
| 90715 | <1% | 91 | $40.11 | |
| 87210 | <1% | 57 | $33.95 | |
| 86592 | <1% | 1,190 | $32.52 | |
| 86850 | <1% | 396 | $27.00 | |
| 90658 | <1% | 121 | $24.00 | |
| 83655 | <1% | 127 | $15.39 | |
| 86787 | <1% | 57 | $15.00 | |
| 86900 | <1% | 436 | $11.37 | |
| 86901 | <1% | 438 | $11.37 | |
| 90686 | <1% | 60 | $9.00 | |
| 83020 | 0% | 56 | $0.00 | |
| 99173 | 0% | 35 | $0.00 | |
| 86701 | 0% | 1,200 | $0.00 | |
| 86762 | 0% | 41 | $0.00 | |
| 90674 | 0% | 71 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 92551 | 0% | 18 | $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 officialMCLEOD, REBECCA (HEALTH DIRECTOR)
Parent organizationCOUNTY OF BURKE