Cumberland County Hospital System INC
Cumberland County Hospital System INC was paid $599K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
FAYETTEVILLE, NC 28304
Next to other Family Medicine Physician 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 | 1,350 | $36K | |
| 2019 | 1,158 | $48K | |
| 2020 | 1,543 | $59K | |
| 2021 | 5,479 | $112K | |
| 2022 | 12,078 | $112K | |
| 2023 | 12,154 | $119K | |
| 2024incomplete | 11,360 | $113K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 5,342 | 4,695 | $296K |
| 99199 | Unlisted special service, procedure or report | 25% | 34,119 | 27,643 | $148K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,485 | 2,144 | $90K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 8.7% | 2,460 | 1,720 | $52K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.2% | 456 | 392 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 52 | 50 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 32 | 28 | $693.15 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | 14 | $210.58 |
| 90686 | <1% | 15 | 14 | $180.82 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 81 | 71 | $159.30 |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 0% | 65 | 42 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.