Clinic
County of Wilson
County of Wilson was paid $3.44M by Medicaid between Jan 2018 and Dec 2024, across 98 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 58% of everything it billed.
33Billing provider infoCOUNTY OF WILSON
WILSON, NC 27893
WILSON, NC 27893
33aNPI1467507640assigned 01/25/2007
33bProvider typeMedical Specialty Clinic/Center
28Total paid$3.44M
24GClaims447,919
24DCodes billed98
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in North Carolina
Rank by total paid#2 of 31
Median peer was paid$245K
This provider vs. median14×
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 | 10,540 | $198K | |
| 2019 | 9,438 | $187K | |
| 2020 | 8,454 | $182K | |
| 2021 | 58,834 | $570K | |
| 2022 | 116,105 | $811K | |
| 2023 | 119,053 | $725K | |
| 2024incomplete | 125,495 | $764K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 58% | 376,145 | 322,624 | $2.01M |
| 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% | 5,749 | 4,101 | $428K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.5% | 4,303 | 3,720 | $121K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 3.4% | 3,390 | 2,890 | $118K |
| 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 | 2.9% | 1,002 | 845 | $100K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 936 | 700 | $96K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 6,228 | 5,253 | $81K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.3% | 942 | 845 | $44K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 1,945 | 1,620 | $43K |
| 0001A | <1% | 634 | 476 | $29K | |
| 81025 | <1% | 3,983 | 3,137 | $26K | |
| 0002A | <1% | 522 | 436 | $26K |
86 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 145 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 404 | $19K |
| T1002 | Rn services, up to 15 minutes | <1% | 337 | $18K |
| 99384 | <1% | 173 | $16K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,214 | $14K |
| 81003 | <1% | 5,131 | $13K | |
| 99205 | Prolong outpt/office vis | <1% | 67 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 315 | $13K |
| D1120 | Dental cleaning, child | <1% | 435 | $11K |
| 0072A | <1% | 348 | $11K | |
| 0071A | <1% | 451 | $10K | |
| 0012A | <1% | 180 | $9K | |
| 96127 | <1% | 2,676 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 103 | $8K |
| 90686 | <1% | 2,986 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 86 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 452 | $7K |
| D1351 | Sealant - per tooth | <1% | 282 | $7K |
| 87210 | <1% | 1,666 | $7K | |
| 0011A | <1% | 186 | $7K | |
| 82120 | <1% | 1,655 | $6K | |
| 99383 | <1% | 67 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 371 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 321 | $5K |
| 90651 | <1% | 262 | $5K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 208 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 404 | $5K |
| 90734 | <1% | 528 | $4K | |
| 85018 | <1% | 1,381 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 41 | $3K |
| 0003A | <1% | 107 | $3K | |
| 81001 | <1% | 869 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 267 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 349 | $2K |
| 90620 | <1% | 147 | $2K | |
| 90619 | <1% | 476 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 293 | $2K |
| 96160 | <1% | 709 | $2K | |
| 0013A | <1% | 44 | $2K | |
| 90715 | <1% | 479 | $2K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 355 | $1K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 353 | $1K |
| 0064A | <1% | 37 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 15 | $1K |
| 86592 | <1% | 475 | $1K | |
| 90480 | <1% | 24 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 95 | $903.38 |
| D0120 | Dental checkup, returning patient | <1% | 28 | $897.58 |
| 92551 | <1% | 1,387 | $895.54 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 276 | $793.78 |
| 87081 | <1% | 85 | $461.79 | |
| 0134A | <1% | 26 | $455.00 | |
| 90707 | <1% | 29 | $406.38 | |
| 90716 | <1% | 32 | $371.73 | |
| 99173 | <1% | 1,627 | $232.48 | |
| 80061 | Lipid panel | <1% | 126 | $102.24 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 191 | $98.72 |
| 99000 | <1% | 1,095 | $77.91 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 84 | $75.28 |
| 86803 | <1% | 63 | $54.45 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 40 | $51.31 |
| 90696 | <1% | 52 | $49.13 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 35 | $41.44 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 123 | $39.52 |
| 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% | 73 | $25.00 |
| 87340 | <1% | 44 | $23.66 | |
| 80053 | Comprehensive metabolic panel | <1% | 121 | $21.48 |
| 83020 | <1% | 12 | $15.98 | |
| 86900 | <1% | 43 | $7.58 | |
| 86901 | <1% | 43 | $7.58 | |
| 91307 | <1% | 842 | $4.10 | |
| 90633 | <1% | 122 | $0.11 | |
| 90710 | 0% | 73 | $0.00 | |
| 91300 | 0% | 1,324 | $0.00 | |
| LU283 | 0% | 28 | $0.00 | |
| LU233 | 0% | 89 | $0.00 | |
| 90685 | 0% | 25 | $0.00 | |
| 90670 | 0% | 51 | $0.00 | |
| 91301 | 0% | 490 | $0.00 | |
| 91306 | 0% | 86 | $0.00 | |
| 86580 | 0% | 25 | $0.00 | |
| 36416 | 0% | 244 | $0.00 | |
| 0500F | 0% | 68 | $0.00 | |
| 90723 | 0% | 25 | $0.00 | |
| 91305 | 0% | 20 | $0.00 | |
| 90647 | 0% | 24 | $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 officialELLEN, TERESA (HEALTH DIRECTOR)