Medicaid Provider Spending

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

COUNTY OF WILSON

NPI: 1467507640 · WILSON, NC 27893 · Medical Specialty Clinic/Center · NPI assigned 01/25/2007

$3.44M
Total Medicaid Paid
447,919
Total Claims
379,571
Beneficiaries
98
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELLEN, TERESA (HEALTH DIRECTOR)
NPI Enumeration Date01/25/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 125,495 $764K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 376,145 322,624 $2.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,749 4,101 $428K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,303 3,720 $121K
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,390 2,890 $118K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,002 845 $100K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 936 700 $96K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6,228 5,253 $81K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 942 845 $44K
90472 Immunization administration, each additional vaccine (list separately) 1,945 1,620 $43K
0001A 634 476 $29K
81025 3,983 3,137 $26K
0002A 522 436 $26K
99215 Prolong outpt/office vis 145 140 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 404 319 $19K
T1002 Rn services, up to 15 minutes 337 330 $18K
99384 173 141 $16K
36415 Collection of venous blood by venipuncture 6,214 5,220 $14K
81003 5,131 3,059 $13K
99205 Prolong outpt/office vis 67 53 $13K
D0150 Comprehensive oral evaluation - new or established patient 315 217 $13K
D1120 Prophylaxis - child 435 331 $11K
0072A 348 192 $11K
0071A 451 199 $10K
0012A 180 161 $9K
96127 2,676 2,159 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 103 81 $8K
90686 2,986 2,581 $8K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 86 63 $7K
D1206 Topical application of fluoride varnish 452 343 $7K
D1351 Sealant - per tooth 282 45 $7K
87210 1,666 1,423 $7K
0011A 186 179 $7K
82120 1,655 1,427 $6K
99383 67 52 $6K
D0220 Intraoral - periapical first radiographic image 371 253 $5K
D0272 Bitewings - two radiographic images 321 224 $5K
90651 262 228 $5K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 208 203 $5K
D0230 Intraoral - periapical each additional radiographic image 404 245 $5K
90734 528 368 $4K
85018 1,381 1,191 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 25 $3K
0003A 107 56 $3K
81001 869 760 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 267 228 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 349 246 $2K
90620 147 128 $2K
90619 476 395 $2K
87086 Culture, bacterial; quantitative colony count, urine 293 273 $2K
96160 709 525 $2K
0013A 44 29 $2K
90715 479 357 $2K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 355 287 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 353 285 $1K
0064A 37 24 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15 15 $1K
86592 475 438 $1K
90480 24 17 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 95 28 $903.38
D0120 Periodic oral evaluation - established patient 28 26 $897.58
92551 1,387 1,161 $895.54
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 276 247 $793.78
87081 85 80 $461.79
0134A 26 14 $455.00
90707 29 29 $406.38
90716 32 30 $371.73
99173 1,627 1,380 $232.48
80061 Lipid panel 126 116 $102.24
83036 Hemoglobin; glycosylated (A1C) 191 180 $98.72
99000 1,095 959 $77.91
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 84 77 $75.28
86803 63 60 $54.45
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 40 40 $51.31
90696 52 40 $49.13
84443 Thyroid stimulating hormone (TSH) 35 31 $41.44
85025 Blood count; complete (CBC), automated, and automated differential WBC count 123 113 $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) 73 63 $25.00
87340 44 44 $23.66
80053 Comprehensive metabolic panel 121 111 $21.48
83020 12 12 $15.98
86900 43 43 $7.58
86901 43 43 $7.58
91307 842 380 $4.10
90633 122 111 $0.11
90710 73 58 $0.00
91300 1,324 925 $0.00
LU283 28 28 $0.00
LU233 89 88 $0.00
90685 25 23 $0.00
90670 51 51 $0.00
91301 490 425 $0.00
91306 86 53 $0.00
86580 25 12 $0.00
36416 244 199 $0.00
0500F 68 66 $0.00
90723 25 25 $0.00
91305 20 14 $0.00
90647 24 24 $0.00