Cumberland County Hospital System INC
Cumberland County Hospital System INC was paid $8.69M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
FAYETTEVILLE, NC 28305
Next to other Counselor 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 | 11,166 | $622K | |
| 2019 | 15,840 | $790K | |
| 2020 | 13,420 | $779K | |
| 2021 | 16,740 | $1.09M | |
| 2022 | 20,512 | $1.37M | |
| 2023 | 32,508 | $1.88M | |
| 2024incomplete | 30,313 | $2.16M |
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 | 21% | 23,966 | 18,556 | $1.82M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 15% | 11,964 | 8,707 | $1.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 30,118 | 22,951 | $1.21M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 25,383 | 6,562 | $1.14M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.1% | 7,006 | 3,734 | $529K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.0% | 7,511 | 4,636 | $523K |
| 99223 | Prolong inpt eval add15 m | 4.6% | 3,433 | 2,647 | $402K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.5% | 8,347 | 5,793 | $390K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.0% | 5,902 | 2,828 | $348K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.6% | 3,170 | 2,437 | $226K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.1% | 1,814 | 1,559 | $184K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 1.6% | 2,137 | 1,437 | $141K |
26 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.3% | 1,092 | $116K |
| 99245 | 1.2% | 548 | $104K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 358 | $39K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 861 | $30K |
| 99205 | Prolong outpt/office vis | <1% | 181 | $28K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,411 | $27K |
| 99283 | Emergency room visit (moderate) | <1% | 528 | $21K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 444 | $17K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 127 | $13K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 92 | $12K |
| 99255 | <1% | 67 | $11K | |
| 80305 | <1% | 1,090 | $7K | |
| 96101 | <1% | 30 | $7K | |
| 96131 | <1% | 36 | $4K | |
| 99335 | <1% | 41 | $3K | |
| 99347 | <1% | 126 | $3K | |
| 96130 | <1% | 37 | $3K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 116 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 127 | $2K |
| 96137 | <1% | 19 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $2K |
| 99449 | <1% | 96 | $927.10 | |
| 96136 | <1% | 33 | $749.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 34 | $273.11 |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 0% | 55 | $0.00 |
| J1631 | Injection, haloperidol decanoate, per 50 mg | 0% | 173 | $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.