Agency
County of Pender
County of Pender was paid $2.75M by Medicaid between Jan 2018 and Dec 2024, across 94 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 51% of everything it billed.
33Billing provider infoCOUNTY OF PENDER
BURGAW, NC 28425
BURGAW, NC 28425
33aNPI1508887076assigned 07/21/2006
33bProvider typeCase Management Agency
28Total paid$2.75M
24GClaims387,516
24DCodes billed94
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#87 of 195
Median peer was paid$2.05M
This provider vs. median1.3×
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.
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 | 15,159 | $218K | |
| 2019 | 13,110 | $223K | |
| 2020 | 12,012 | $209K | |
| 2021 | 47,274 | $466K | |
| 2022 | 91,247 | $624K | |
| 2023 | 98,416 | $476K | |
| 2024incomplete | 110,298 | $534K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 51% | 308,744 | 202,626 | $1.39M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,369 | 4,361 | $330K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.3% | 6,826 | 6,035 | $90K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.1% | 3,034 | 2,929 | $85K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.1% | 2,724 | 2,162 | $84K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.8% | 2,632 | 2,485 | $76K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.4% | 828 | 758 | $66K |
| D1206 | Topical application of fluoride varnish | 2.3% | 3,764 | 3,567 | $63K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 591 | 427 | $58K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 2,394 | 2,087 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.4% | 409 | 384 | $38K |
| D1351 | Sealant - per tooth | 1.4% | 1,311 | 395 | $37K |
82 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 769 | $33K |
| D1110 | Prophylaxis - adult | 1.2% | 872 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 346 | $31K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 262 | $26K |
| 0001A | <1% | 503 | $20K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 482 | $20K |
| 0002A | <1% | 436 | $18K | |
| 0012A | <1% | 294 | $14K | |
| D0272 | Bitewings - two radiographic images | <1% | 781 | $14K |
| 0011A | <1% | 353 | $13K | |
| 81025 | <1% | 1,816 | $13K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 385 | $12K |
| 96127 | <1% | 2,513 | $11K | |
| 0072A | <1% | 236 | $10K | |
| 0071A | <1% | 256 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 119 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,062 | $9K |
| 87210 | <1% | 1,755 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,036 | $6K |
| 90651 | <1% | 238 | $5K | |
| 82120 | <1% | 1,181 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 277 | $4K |
| 90619 | <1% | 773 | $4K | |
| 0064A | <1% | 95 | $4K | |
| D0274 | Bitewings - four radiographic images | <1% | 107 | $3K |
| 90734 | <1% | 219 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 132 | $3K |
| 81003 | <1% | 1,886 | $3K | |
| 0004A | <1% | 54 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 27 | $2K |
| 90688 | <1% | 352 | $2K | |
| 85018 | <1% | 1,685 | $2K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 25 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 53 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,210 | $2K |
| 96160 | <1% | 544 | $2K | |
| 90686 | <1% | 1,906 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 12 | $1K |
| 96161 | <1% | 395 | $1K | |
| 90715 | <1% | 401 | $1K | |
| 99384 | <1% | 12 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 69 | $947.05 |
| 92551 | <1% | 1,915 | $834.90 | |
| 99406 | <1% | 98 | $790.31 | |
| 90620 | <1% | 32 | $720.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,421 | $716.58 |
| 90480 | <1% | 17 | $675.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $667.16 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,422 | $645.40 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 41 | $391.92 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,397 | $377.54 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | $180.40 |
| 99173 | <1% | 2,169 | $136.43 | |
| 86592 | <1% | 1,385 | $101.80 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 429 | $99.12 |
| 86593 | <1% | 1,384 | $94.12 | |
| 91300 | <1% | 1,013 | $33.60 | |
| 85027 | <1% | 406 | $32.43 | |
| 91307 | <1% | 496 | $31.39 | |
| 86803 | <1% | 35 | $18.15 | |
| 87340 | <1% | 364 | $11.83 | |
| D0601 | 0% | 460 | $0.00 | |
| D1330 | 0% | 810 | $0.00 | |
| 86762 | 0% | 59 | $0.00 | |
| D0603 | 0% | 177 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 372 | $0.00 |
| 86901 | 0% | 293 | $0.00 | |
| D9912 | 0% | 1,220 | $0.00 | |
| D1310 | 0% | 61 | $0.00 | |
| 91301 | 0% | 733 | $0.00 | |
| 91306 | 0% | 75 | $0.00 | |
| 86850 | 0% | 336 | $0.00 | |
| 0500F | 0% | 12 | $0.00 | |
| 90647 | 0% | 125 | $0.00 | |
| 90723 | 0% | 37 | $0.00 | |
| D0602 | 0% | 55 | $0.00 | |
| 86900 | 0% | 289 | $0.00 | |
| 90670 | 0% | 320 | $0.00 | |
| 83655 | 0% | 210 | $0.00 | |
| 90633 | 0% | 115 | $0.00 | |
| 86787 | 0% | 65 | $0.00 | |
| 90710 | 0% | 86 | $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 officialMOSER, CAROLYN (HEALTH DIRECTOR)