Agency
Clay County
Clay County was paid $2.22M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 12% of everything it billed.
33Billing provider infoCLAY COUNTY
HAYESVILLE, NC 28904
HAYESVILLE, NC 28904
33aNPI1629159884assigned 10/17/2006
33bProvider typeCase Management Agency
28Total paid$2.22M
24GClaims106,612
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#92 of 195
Median peer was paid$2.05M
This provider vs. median1.1×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,212 | $359K | |
| 2019 | 9,296 | $321K | |
| 2020 | 6,415 | $250K | |
| 2021 | 8,158 | $305K | |
| 2022 | 13,033 | $228K | |
| 2023 | 26,460 | $331K | |
| 2024incomplete | 33,038 | $428K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 12% | 51,613 | 51,279 | $256K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 3,081 | 2,182 | $240K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 8,417 | 8,011 | $233K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 2,288 | 1,651 | $233K |
| D1110 | Prophylaxis - adult | 9.1% | 5,006 | 4,725 | $203K |
| D0330 | Panoramic radiographic image | 8.1% | 3,011 | 2,841 | $181K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.9% | 5,218 | 4,953 | $154K |
| D1206 | Topical application of fluoride varnish | 6.5% | 8,507 | 8,076 | $145K |
| D0274 | Bitewings - four radiographic images | 5.4% | 3,496 | 3,314 | $120K |
| D1351 | Sealant - per tooth | 4.3% | 3,081 | 1,090 | $96K |
| D0140 | Limited oral evaluation - problem focused | 4.1% | 2,306 | 2,177 | $92K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.0% | 1,968 | 1,834 | $89K |
23 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 2,535 | $51K |
| D0220 | Intraoral - periapical first radiographic image | 1.3% | 1,887 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 1.0% | 340 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,569 | $17K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 158 | $16K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 175 | $12K |
| D4355 | <1% | 144 | $9K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 423 | $9K |
| D2330 | <1% | 56 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 59 | $3K |
| D2331 | <1% | 34 | $3K | |
| D2332 | <1% | 18 | $2K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 100 | $1K |
| 81025 | <1% | 164 | $933.16 | |
| 90734 | <1% | 237 | $642.89 | |
| 90686 | <1% | 339 | $465.63 | |
| 90651 | <1% | 31 | $210.24 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 17 | $131.25 |
| 36415 | Collection of venous blood by venipuncture | <1% | 36 | $84.50 |
| 90715 | <1% | 56 | $38.93 | |
| 99173 | <1% | 156 | $2.00 | |
| 90633 | 0% | 23 | $0.00 | |
| 92551 | 0% | 63 | $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 officialPATTERSON, JANICE (HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Clay County | Hayesville, NC | $810K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.