Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Bethany Medical Center

Bethany Medical Center was paid $4.74M by Medicaid between Aug 2018 and Dec 2024, across 73 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.

33Billing provider infoBETHANY MEDICAL CENTER
WINSTON SALEM, NC 27103
33aNPI1528554631assigned 07/02/2018
33bProvider typePain Medicine Physician
28Total paid$4.74M
24GClaims136,203
24DCodes billed73
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers

Next to other Pain Medicine Physician providers in North Carolina

Rank by total paid#3 of 17
Median peer was paid$197K
This provider vs. median24×

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 PETERS, LENIN controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20185,488$246K
201919,896$1.01M
202021,645$1.15M
202114,807$583K
202214,196$483K
202327,139$622K
2024incomplete33,032$636K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 33% 30,750 24,735 $1.57M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 24% 17,304 15,091 $1.16M
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 12% 8,536 7,616 $579K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 12% 5,414 4,927 $566K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.0% 9,827 7,883 $283K
99199 Unlisted special service, procedure or report 3.4% 22,534 11,822 $162K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.6% 1,891 1,454 $124K
83970 <1% 731 601 $30K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,019 822 $30K
86769 <1% 744 724 $29K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,411 1,080 $22K
80061 Lipid panel <1% 1,362 1,146 $18K
61 more codes
99203 Doctor's office visit, new patient (routine) <1% 365 $18K
80053 Comprehensive metabolic panel <1% 1,832 $17K
99406 <1% 2,549 $16K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,798 $15K
83036 Hemoglobin; glycosylated (A1C) <1% 1,276 $12K
84480 <1% 802 $11K
84443 Thyroid stimulating hormone (TSH) <1% 496 $8K
36415 Collection of venous blood by venipuncture <1% 5,806 $8K
82607 <1% 515 $7K
84439 <1% 805 $7K
82746 <1% 512 $7K
82728 <1% 513 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 161 $6K
99204 Doctor's office visit, new patient (more involved) <1% 69 $4K
83550 <1% 513 $4K
72100 <1% 208 $4K
83540 <1% 332 $2K
J1030 Injection, methylprednisolone acetate, 40 mg <1% 883 $2K
80050 General health panel <1% 193 $2K
81025 <1% 213 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 22 $895.72
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 1,107 $725.58
72050 <1% 29 $578.64
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 18 $543.89
93000 <1% 47 $495.72
94375 <1% 27 $492.49
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 20 $482.62
86703 <1% 44 $437.50
86431 <1% 54 $310.53
84550 <1% 71 $305.57
90688 <1% 21 $285.60
99442 <1% 17 $274.08
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% 118 $265.64
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 20 $209.55
81002 <1% 97 $198.45
86803 <1% 16 $176.10
87340 <1% 16 $114.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 174 $105.90
96146 <1% 498 $79.38
3044F <1% 687 $60.00
82044 <1% 18 $24.71
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 201 $18.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 31 $12.16
3077F 0% 69 $0.00
4004F 0% 914 $0.00
3078F 0% 1,584 $0.00
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes 0% 198 $0.00
1159F 0% 153 $0.00
99072 0% 15 $0.00
3050F 0% 43 $0.00
3008F 0% 3,448 $0.00
3075F 0% 555 $0.00
3074F 0% 1,361 $0.00
3048F 0% 841 $0.00
1125F 0% 490 $0.00
3079F 0% 453 $0.00
3049F 0% 218 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 15 $0.00
80320 0% 45 $0.00
1170F 0% 50 $0.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 0% 34 $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 officialPETERS, LENIN (CEO)
Parent organizationBETHANY MEDICAL CENTER
Same official

Other billing entities under PETERS, LENIN

Full network →
ProviderLocationPaid
Bethany Medical CenterHigh Point, NC$18.31M
Bethany Medical CenterGreensboro, NC$7.28M
Bethany Medical CenterGreensboro, NC$5.72M
Bethany Medical CenterWinston Salem, NC$5.13M
Bethany Medical CenterHigh Point, NC$3.77M
Bethany Medical CenterKernersville, NC$2.29M
Bethany Medical CenterGreensboro, NC$1.70M
Bethany Medical CenterKernersville, NC$1.62M
Bethany Medical CenterMount Airy, NC$1.50M
Bethany Medical Center, PAHigh Point, NC$1.47M
Bethany Medical Center PAHigh Point, NC$1.25M
Bethany Medical Center PAHigh Point, NC$1.13M
Bethany Medical Center, PAHigh Point, NC$645K
Bethany Medical CenterHigh Point, NC$524K
LJP Anesthesia Services, PLLCHigh Point, NC$198K
Bethany Medical CenterHigh Point, NC$88K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.