Medicaid Provider Spending

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

GASTON FAMILY HEALTH SERVICES INC

NPI: 1477079283 · GASTONIA, NC 28054 · Pharmacy · NPI assigned 08/15/2017

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

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

$5.74M
Total Medicaid Paid
156,333
Total Claims
96,120
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, SHARMILA (BUSINESS SERVICES ADMINISTRATOR)
Parent OrganizationGASTON FAMILY HEALTH SERVICES INC
NPI Enumeration Date08/15/2017

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. STATESVILLE NC $4.75M
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $3.43M
GASTON FAMILY HEALTH SERVICES, INC. CLAREMONT NC $2.71M
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
2018 10,988 $426K
2019 12,588 $595K
2020 9,165 $537K
2021 21,741 $818K
2022 31,645 $891K
2023 31,485 $857K
2024 38,721 $1.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 47,554 25,915 $4.78M
99199 Unlisted special service, procedure or report 70,067 40,258 $434K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,893 1,483 $145K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,411 1,138 $106K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,150 759 $83K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 765 605 $66K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2,859 1,965 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,555 2,784 $20K
90472 Immunization administration, each additional vaccine (list separately) 2,182 1,681 $18K
D0145 Oral evaluation for a patient under three years of age 476 409 $14K
D1206 Topical application of fluoride varnish 466 409 $6K
92551 3,994 3,135 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 462 433 $6K
36415 Collection of venous blood by venipuncture 1,671 1,408 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 560 399 $3K
99383 42 40 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 205 189 $3K
99173 4,121 3,230 $2K
85018 1,301 1,062 $2K
83036 Hemoglobin; glycosylated (A1C) 155 152 $2K
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 62 51 $1K
96160 772 489 $1K
97802 88 83 $1K
81002 481 420 $1K
82948 254 222 $882.65
99384 15 13 $843.50
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 166 98 $837.10
0001A 21 12 $749.52
87430 56 47 $670.22
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 49 12 $600.00
90734 116 82 $584.84
90697 31 26 $498.72
81003 189 165 $437.58
90460 Immunization administration through 18 years of age via any route, first or only component 711 425 $327.20
90677 94 82 $299.42
90656 90 86 $254.25
90686 660 516 $191.99
96127 91 81 $159.75
90473 61 25 $82.26
90651 259 183 $77.52
90633 104 76 $33.10
36416 412 339 $31.60
94760 82 73 $2.13
90670 253 209 $0.00
3078F 2,034 1,688 $0.00
90710 233 204 $0.00
90461 522 292 $0.00
90681 22 13 $0.00
90658 37 35 $0.00
90685 15 14 $0.00
90648 24 17 $0.00
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 577 180 $0.00
3074F 2,098 1,739 $0.00
99000 258 233 $0.00
3008F 253 230 $0.00
90619 29 25 $0.00
90698 107 83 $0.00
90680 33 27 $0.00
1111F 55 42 $0.00
90474 15 15 $0.00
96380 15 14 $0.00