Medicaid Provider Spending

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

COGENT HEALTHCARE OF NORTH CAROLINA, PC

NPI: 1548207483 · HIGH POINT, NC 27262 · Nurse Practitioner · NPI assigned 05/31/2006

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

Authorized official FALL, LAURA controls 20+ related entities in our dataset. Read more

$3.34M
Total Medicaid Paid
88,510
Total Claims
38,669
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFALL, LAURA (MANAGER)
NPI Enumeration Date05/31/2006

Related Entities

Other providers sharing the same authorized official: FALL, LAURA

ProviderCityStateTotal Paid
INPATIENT SPECIALISTS OF CALIFORNIA, PC SAN BERNARDINO CA $32.85M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTHERN CALIFORNIA, P.C. BAKERSFIELD CA $23.48M
T M CARR MD PC MEMPHIS TN $19.29M
SOUTH SOUND INPATIENT PHYSICIANS PLLC ARLINGTON WA $17.61M
HOSPITALIST MEDICINE PHYSICIANS OF CALIFORNIA, INC SAN JOSE CA $16.34M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS, PLLC HUMBLE TX $16.31M
COGENT HEALTHCARE OF ARIZONA PC BRENTWOOD TN $15.26M
SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC AIKEN SC $14.15M
SOUND INPATIENT PHYSICIANS-MICHIGAN, PLLC KALAMAZOO MI $12.40M
HOSPITALIST MEDICINE PHYSICIANS OF OHIO, PROFESSIONAL CORPORATION MIDDLETOWN OH $9.72M
HOSPITALIST MEDICINE PHYSICIANS OF MARYLAND-FREDERICK PC FREDERICK MD $6.02M
RABESSLER MD PC LAS VEGAS NV $5.09M
SOUND PHYSICIANS OF ILLINOIS, LLC CHICAGO IL $4.98M
HOSPITALIST MEDICINE PHYSICIANS OF TEXAS - HOUSTON, PLLC BRENTWOOD TN $4.68M
COGENT HEALTHCARE OF GEORGIA PC MACON GA $4.65M
COGENT HEALTHCARE OF KENTUCKY, PSC LOUISVILLE KY $4.39M
HOSPITALIST MEDICINE PHYSICIANS OF NEW YORK, PLLC BRONX NY $4.25M
HOSPITALIST MEDICINE PHYSICIANS OF WEST VIRGINIA, PLLC WHEELING WV $4.10M
HOSPITALIST MEDICINE PHYSICIANS OF NEW MEXICO - CLOVIS, LLC HOBBS NM $4.09M
SOUND PHYSICIANS EMERGENCY MEDICINE OF KANSAS, LLC TOPEKA KS $3.37M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,277 $307K
2019 9,523 $304K
2020 11,085 $528K
2021 7,879 $394K
2022 9,622 $524K
2023 19,641 $844K
2024 8,483 $436K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 35,608 12,420 $1.41M
99223 Prolong inpt eval add15 m 13,753 9,814 $946K
99232 Subsequent hospital care, per day, moderate complexity 26,835 7,484 $560K
99239 Hospital discharge day management, more than 30 minutes 8,811 6,456 $333K
99220 743 588 $44K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 359 189 $15K
99222 Initial hospital care, per day, moderate complexity 266 203 $11K
99221 98 88 $5K
99238 Hospital discharge day management, 30 minutes or less 233 155 $4K
99217 179 120 $3K
99219 45 45 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 169 44 $2K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 26 13 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 33 12 $1K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 16 12 $411.30
99497 265 184 $358.70
93016 56 26 $145.36
93018 53 25 $92.17
99406 22 12 $33.48
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 835 678 $0.01
1123F 105 101 $0.00