Scotland Memorial Hospital INC
Scotland Memorial Hospital INC was paid $1.51M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
LAURINBURG, NC 28352
Next to other Otolaryngology Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 9,953 | $361K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 12,969 | 10,390 | $408K |
| 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 | 18% | 5,280 | 4,359 | $269K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 10% | 1,264 | 248 | $154K |
| 99243 | 9.3% | 1,512 | 1,325 | $140K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 8.1% | 445 | 384 | $123K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 1,753 | 1,441 | $94K |
| 95117 | 3.5% | 6,477 | 2,000 | $53K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 672 | 565 | $52K |
| 99242 | 3.0% | 683 | 583 | $45K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.6% | 119 | 112 | $25K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.6% | 158 | 138 | $24K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.6% | 169 | 138 | $24K |
24 more codes
| 94060 | 1.2% | 769 | $18K | |
| 92557 | 1.0% | 744 | $16K | |
| 51798 | <1% | 1,464 | $10K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 80 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 502 | $7K |
| 92567 | <1% | 798 | $7K | |
| 69210 | <1% | 356 | $6K | |
| 81003 | <1% | 4,605 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 182 | $5K |
| 94729 | <1% | 408 | $5K | |
| 31575 | <1% | 96 | $4K | |
| 94726 | <1% | 302 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 411 | $3K |
| 42830 | <1% | 12 | $1K | |
| 90732 | <1% | 12 | $1K | |
| 95024 | <1% | 15 | $635.25 | |
| 95800 | <1% | 23 | $573.29 | |
| 94010 | <1% | 31 | $471.90 | |
| 92504 | <1% | 17 | $251.88 | |
| 99199 | Unlisted special service, procedure or report | <1% | 15 | $127.65 |
| 99406 | <1% | 19 | $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 | <1% | 76 | $24.45 |
| 82044 | <1% | 12 | $17.69 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 19 | $5.40 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.