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

Hope Physicians

Hope Physicians was paid $577K by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoHOPE PHYSICIANS
KINSTON, NC 28501
33aNPI1578764312assigned 05/30/2007
28Total paid$577K
24GClaims29,054
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Student Health Clinic/Center providers in North Carolina

Rank by total paid#2 of 8
Median peer was paid$23K
This provider vs. median25×

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

$0$10K$20K2018201920202021202220232024
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
20186,339$73K
20197,893$121K
20202,541$79K
20212,435$81K
20224,064$96K
20233,614$73K
2024incomplete2,168$53K
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 50% 7,489 5,180 $286K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 38% 4,285 3,160 $217K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4.6% 1,185 956 $26K
99308 Subsequent nursing facility care, per day, straightforward 4.1% 1,332 1,143 $24K
99199 Unlisted special service, procedure or report 2.1% 3,266 3,158 $12K
83036 Hemoglobin; glycosylated (A1C) <1% 928 767 $2K
99205 Prolong outpt/office vis <1% 21 13 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 205 165 $2K
90674 <1% 269 232 $2K
82947 <1% 1,279 1,089 $1K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 22 13 $721.80
20610 <1% 19 13 $472.47
32 more codes
99310 Prolong nursin fac eval 15m <1% 33 $255.22
87428 <1% 16 $190.77
90661 <1% 47 $163.25
81002 <1% 161 $157.82
71046 Radiologic examination, chest; 2 views <1% 15 $102.71
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% 12 $92.25
99406 <1% 21 $70.85
99497 <1% 80 $63.76
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 18 $56.80
82962 <1% 168 $31.79
G0008 Administration of influenza virus vaccine <1% 184 $6.72
3044F <1% 297 $0.02
4004F 0% 391 $0.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method 0% 1,261 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 223 $0.00
90756 0% 85 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 629 $0.00
G8482 Influenza immunization administered or previously received 0% 835 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 1,521 $0.00
3078F 0% 154 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 798 $0.00
3045F 0% 18 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 20 $0.00
G0245 Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education 0% 52 $0.00
3074F 0% 126 $0.00
1036F 0% 768 $0.00
3079F 0% 64 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 71 $0.00
3014F 0% 474 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 86 $0.00
3075F 0% 113 $0.00
90694 0% 13 $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 officialOKONKWO, AMBROSE (PRESIDENT, CEO)