Supplier
Gaston Family Health Services INC
Gaston Family Health Services INC was paid $5.74M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoGASTON FAMILY HEALTH SERVICES INC
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1477079283assigned 08/15/2017
33bProvider typePharmacy
28Total paid$5.74M
24GClaims156,333
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pharmacy providers in North Carolina
Rank by total paid#1 of 97
Median peer was paid$1K
This provider vs. median5,392×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ANDERSON, SHARMILA controls 20+ related entities in our dataset. Read more
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 | 10,988 | $426K | |
| 2019 | 12,588 | $595K | |
| 2020 | 9,165 | $537K | |
| 2021 | 21,741 | $818K | |
| 2022 | 31,645 | $891K | |
| 2023 | 31,485 | $857K | |
| 2024incomplete | 38,721 | $1.62M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 83% | 47,554 | 25,915 | $4.78M |
| 99199 | Unlisted special service, procedure or report | 7.6% | 70,067 | 40,258 | $434K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.5% | 1,893 | 1,483 | $145K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 1,411 | 1,138 | $106K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 1,150 | 759 | $83K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 765 | 605 | $66K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,859 | 1,965 | $25K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,555 | 2,784 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,182 | 1,681 | $18K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 476 | 409 | $14K |
| D1206 | Topical application of fluoride varnish | <1% | 466 | 409 | $6K |
| 92551 | <1% | 3,994 | 3,135 | $6K |
49 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 462 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,671 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 560 | $3K |
| 99383 | <1% | 42 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 205 | $3K |
| 99173 | <1% | 4,121 | $2K | |
| 85018 | <1% | 1,301 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 155 | $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 | <1% | 62 | $1K |
| 96160 | <1% | 772 | $1K | |
| 97802 | <1% | 88 | $1K | |
| 81002 | <1% | 481 | $1K | |
| 82948 | <1% | 254 | $882.65 | |
| 99384 | <1% | 15 | $843.50 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 166 | $837.10 |
| 0001A | <1% | 21 | $749.52 | |
| 87430 | <1% | 56 | $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 | <1% | 49 | $600.00 |
| 90734 | <1% | 116 | $584.84 | |
| 90697 | <1% | 31 | $498.72 | |
| 81003 | <1% | 189 | $437.58 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 711 | $327.20 |
| 90677 | <1% | 94 | $299.42 | |
| 90656 | <1% | 90 | $254.25 | |
| 90686 | <1% | 660 | $191.99 | |
| 96127 | <1% | 91 | $159.75 | |
| 90473 | <1% | 61 | $82.26 | |
| 90651 | <1% | 259 | $77.52 | |
| 90633 | <1% | 104 | $33.10 | |
| 36416 | <1% | 412 | $31.60 | |
| 94760 | <1% | 82 | $2.13 | |
| 90670 | 0% | 253 | $0.00 | |
| 3078F | 0% | 2,034 | $0.00 | |
| 90710 | 0% | 233 | $0.00 | |
| 90461 | 0% | 522 | $0.00 | |
| 90681 | 0% | 22 | $0.00 | |
| 90658 | 0% | 37 | $0.00 | |
| 90685 | 0% | 15 | $0.00 | |
| 90648 | 0% | 24 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 577 | $0.00 |
| 3074F | 0% | 2,098 | $0.00 | |
| 99000 | 0% | 258 | $0.00 | |
| 3008F | 0% | 253 | $0.00 | |
| 90619 | 0% | 29 | $0.00 | |
| 90698 | 0% | 107 | $0.00 | |
| 90680 | 0% | 33 | $0.00 | |
| 1111F | 0% | 55 | $0.00 | |
| 90474 | 0% | 15 | $0.00 | |
| 96380 | 0% | 15 | $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 officialANDERSON, SHARMILA (BUSINESS SERVICES ADMINISTRATOR)
Parent organizationGASTON FAMILY HEALTH SERVICES INC
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.