Physician
Moses Cone Medical Services, INC.
Moses Cone Medical Services, INC. was paid $2.01M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoMOSES CONE MEDICAL SERVICES, INC.
MADISON, NC 27025
MADISON, NC 27025
33aNPI1629376363assigned 03/04/2011
33bProvider typeFamily Medicine Physician
28Total paid$2.01M
24GClaims137,007
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#62 of 960
Median peer was paid$135K
This provider vs. median15×
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 HAMMOND, SALLY controls 20+ related entities in our dataset. Read more
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 | 4,922 | $210K | |
| 2019 | 4,776 | $265K | |
| 2020 | 2,684 | $118K | |
| 2021 | 16,218 | $217K | |
| 2022 | 30,806 | $358K | |
| 2023 | 34,613 | $400K | |
| 2024incomplete | 42,988 | $441K |
Box 24 · Service lines
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 | 33% | 11,459 | 10,466 | $667K |
| 99199 | Unlisted special service, procedure or report | 33% | 108,611 | 54,473 | $657K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 11,387 | 10,571 | $574K |
| 99442 | 3.2% | 1,491 | 1,330 | $64K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 1,490 | 1,348 | $26K |
| 99441 | <1% | 307 | 282 | $7K | |
| 90686 | <1% | 851 | 770 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 29 | 29 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 44 | 42 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | 12 | $1K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 16 | 16 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | 13 | $1K |
14 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $948.56 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 58 | $592.43 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $142.13 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $76.41 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 12 | $36.36 |
| 1159F | 0% | 381 | $0.00 | |
| 3078F | 0% | 346 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| 4004F | 0% | 12 | $0.00 | |
| 1036F | 0% | 40 | $0.00 | |
| 90723 | 0% | 12 | $0.00 | |
| 3074F | 0% | 344 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 3079F | 0% | 12 | $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 officialHAMMOND, SALLY (EXECUTIVE DIRECTOR)
Parent organizationTHE MOSES H. CONE MEMORIAL HOSPITAL
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.