Medicaid Provider Spending

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

GASTON FAMILY HEALTH SERVICES, INC.

NPI: 1457836413 · CLAREMONT, NC 28610 · Federally Qualified Health Center (FQHC) · NPI assigned 09/26/2018

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

Authorized official ANDERSON, SHARMILA controls 20+ related entities in our dataset. Read more

$2.71M
Total Medicaid Paid
110,078
Total Claims
65,910
Beneficiaries
20
Codes Billed
2019-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, SHARMILA (BUSINESS SERVICE ADMINISTRATOR)
Parent OrganizationGASTON FAMILY HEALTH SERVICES, INC.
NPI Enumeration Date09/26/2018

Related Entities

Other providers sharing the same authorized official: ANDERSON, SHARMILA

ProviderCityStateTotal Paid
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $9.40M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $5.74M
GASTON FAMILY HEALTH SERVICES, INC. STATESVILLE NC $4.75M
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $3.43M
GASTON FAMILY HEALTH SERVICES INC STATESVILLE NC $2.44M
GASTON FAMILY HEALTH SERVICES, INC. LEXINGTON NC $2.38M
GASTON FAMILY HEALTH SERVICES, INC. BESSEMER CITY NC $2.34M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $2.22M
GASTON FAMILY HEALTH SERVICES, INC HICKORY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. SHELBY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. MAIDEN NC $2.01M
GASTON FAMILY HEALTH SERVICES, INC. KINGS MOUNTAIN NC $1.65M
GASTON FAMILY HEALTH SERVICES, INC. MOCKSVILLE NC $1.40M
GASTON FAMILY HEALTH SERVICES INC LINCOLNTON NC $1.37M
GASTON FAMILY HEALTH SERVICES, INC. TAYLORSVILLE NC $1.01M
GASTON FAMILY HEALTH SERVICES, INC. WINSTON SALEM NC $848K
GASTON FAMILY HEALTH SERVICES, INC GASTONIA NC $809K
GASTON FAMILY HEALTH SERVICES, INC. NEWTON NC $723K
GASTON FAMILY HEALTH SERVICES, INC. LAWNDALE NC $702K
GASTON FAMILY HEALTH SERVICES, INC. HICKORY NC $689K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,797 $149K
2020 3,065 $293K
2021 12,580 $507K
2022 24,375 $472K
2023 29,258 $530K
2024 39,003 $761K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 17,505 13,132 $2.04M
99199 Unlisted special service, procedure or report 77,079 41,038 $496K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,819 2,954 $77K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,732 2,213 $39K
87428 625 524 $31K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,021 786 $11K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 419 231 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 455 204 $4K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 66 63 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 464 360 $2K
99051 222 187 $2K
36415 Collection of venous blood by venipuncture 674 524 $1K
96127 766 596 $471.10
90832 Psychotherapy, 30 minutes with patient 102 41 $159.60
99173 284 178 $92.70
90686 106 93 $40.23
81003 12 12 $27.00
99000 3,611 2,718 $1.76
92551 17 15 $1.00
99499 99 41 $0.00