Scotland Memorial Hospital INC
Scotland Memorial Hospital INC was paid $3.27M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
PEMBROKE, NC 28372
Next to other Rural Health Clinic/Center 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 | 3,726 | $148K | |
| 2019 | 3,672 | $145K | |
| 2020 | 2,610 | $159K | |
| 2021 | 5,931 | $233K | |
| 2022 | 19,573 | $558K | |
| 2023 | 26,177 | $877K | |
| 2024incomplete | 33,800 | $1.15M |
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 | 78% | 41,583 | 34,445 | $2.56M |
| 87428 | 9.7% | 8,066 | 7,054 | $316K | |
| 99199 | Unlisted special service, procedure or report | 5.3% | 30,653 | 19,947 | $172K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 7,119 | 6,210 | $89K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.7% | 1,673 | 1,221 | $56K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 291 | 268 | $23K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,659 | 1,217 | $20K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 270 | 216 | $9K |
| 81003 | <1% | 1,518 | 1,372 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 113 | 95 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 930 | 836 | $4K |
| 81025 | <1% | 499 | 454 | $3K |
13 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 54 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 309 | $1K |
| 87807 | <1% | 73 | $1K | |
| 90686 | <1% | 144 | $928.34 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 203 | $819.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 61 | $734.93 |
| 74018 | <1% | 51 | $557.28 | |
| 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) | <1% | 119 | $387.97 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $118.44 |
| 90656 | <1% | 33 | $81.39 | |
| 85018 | <1% | 18 | $34.58 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 20 | $15.78 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 16 | $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.
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 | Laurinburg, NC | $3.04M |
| Scotland Memorial Hospital, INC | Laurinburg, NC | $1.90M |
| Scotland Memorial Hospital INC | Bennettsville, SC | $1.61M |
| Scotland Memorial Hospital INC | Laurinburg, NC | $1.51M |
| 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.