Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cogent Healthcare of North Carolina, PC

Cogent Healthcare of North Carolina, PC was paid $3.34M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 42% of everything it billed.

33Billing provider infoCOGENT HEALTHCARE OF NORTH CAROLINA, PC
HIGH POINT, NC 27262
33aNPI1548207483assigned 05/31/2006
33bProvider typeNurse Practitioner
28Total paid$3.34M
24GClaims88,510
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nurse Practitioner providers in North Carolina

Rank by total paid#3 of 93
Median peer was paid$18K
This provider vs. median181×

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 FALL, LAURA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
201822,277$307K
20199,523$304K
202011,085$528K
20217,879$394K
20229,622$524K
202319,641$844K
2024incomplete8,483$436K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 42% 35,608 12,420 $1.41M
99223 Prolong inpt eval add15 m 28% 13,753 9,814 $946K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 17% 26,835 7,484 $560K
99239 Hospital discharge day management, more than 30 minutes 10.0% 8,811 6,456 $333K
99220 1.3% 743 588 $44K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 359 189 $15K
99222 Initial hospital care, per day, moderate complexity <1% 266 203 $11K
99221 <1% 98 88 $5K
99238 Hospital discharge day management, 30 minutes or less <1% 233 155 $4K
99217 <1% 179 120 $3K
99219 <1% 45 45 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 169 44 $2K
9 more codes
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 26 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 33 $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 <1% 16 $411.30
99497 <1% 265 $358.70
93016 <1% 56 $145.36
93018 <1% 53 $92.17
99406 <1% 22 $33.48
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 835 $0.01
1123F 0% 105 $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 officialFALL, LAURA (MANAGER)
Same official

Other billing entities under FALL, LAURA

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