Medicaid Provider Spending

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

SCOTLAND MEMORIAL HOSPITAL INC

NPI: 1477791507 · LAURINBURG, NC 28352 · Otolaryngology Physician · NPI assigned 01/28/2009

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

Authorized official STONGE, LUCIEN controls 15+ related entities in our dataset. Read more

$1.51M
Total Medicaid Paid
42,469
Total Claims
30,742
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONGE, LUCIEN (CFO)
NPI Enumeration Date01/28/2009

Related Entities

Other providers sharing the same authorized official: STONGE, LUCIEN

ProviderCityStateTotal Paid
SCOTLAND MEMORIAL HOSPITAL INC LAURINBURG NC $39.39M
SCOTLAND MEMORIAL HOSPITAL INC LAURINBURG NC $5.55M
SCOTLAND MEMORIAL HOSPITAL INC PEMBROKE NC $3.27M
SCOTLAND MEMORIAL HOSPITAL, INC LAURINBURG NC $3.04M
SCOTLAND MEMORIAL HOSPITAL, INC LAURINBURG NC $1.90M
SCOTLAND MEMORIAL HOSPITAL INC BENNETTSVILLE SC $1.61M
SCOTLAND REGIONAL HEALTH NETWORK LAURINBURG NC $1.05M
SCOTLAND MEMORIAL HOSPITAL, INC MAXTON NC $1.02M
SCOTLAND MEMORIAL HOSPITAL INC LAURINBURG NC $830K
SCOTLAND MEMORIAL HOSPITAL, INC WAGRAM NC $766K
SCOTLAND MEMORIAL HOSPITAL BENNETTSVILLE SC $237K
SCOTLAND MEMORIAL HOSPITAL INC LAURINBURG NC $225K
SCOTLAND MEMORIAL HOSPITAL INC LAURINBURG NC $30K
SCOTLAND MEMORIAL HOSPITAL, INC. BENNETTSVILLE SC $5K
SCOTLAND MEMORIAL HOSPITAL INC LAURINBURG NC $377.12

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,713 $31K
2019 3,695 $115K
2020 3,045 $92K
2021 5,524 $184K
2022 8,188 $297K
2023 10,351 $433K
2024 9,953 $361K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,969 10,390 $408K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,280 4,359 $269K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 1,264 248 $154K
99243 1,512 1,325 $140K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 445 384 $123K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,753 1,441 $94K
95117 6,477 2,000 $53K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 672 565 $52K
99242 683 583 $45K
42820 Tonsillectomy and adenoidectomy; younger than age 12 119 112 $25K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 158 138 $24K
99244 Office or other outpatient consultation, moderate to high complexity 169 138 $24K
94060 769 641 $18K
92557 744 646 $16K
51798 1,464 1,280 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters 80 75 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 502 395 $7K
92567 798 658 $7K
69210 356 295 $6K
81003 4,605 3,709 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 182 148 $5K
94729 408 345 $5K
31575 96 73 $4K
94726 302 250 $4K
71046 Radiologic examination, chest; 2 views 411 375 $3K
42830 12 12 $1K
90732 12 12 $1K
95024 15 14 $635.25
95800 23 23 $573.29
94010 31 25 $471.90
92504 17 13 $251.88
99199 Unlisted special service, procedure or report 15 15 $127.65
99406 19 16 $71.77
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 76 15 $24.45
82044 12 12 $17.69
36415 Collection of venous blood by venipuncture 19 12 $5.40