Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOSES CONE MEDICAL SERVICES, INC.

NPI: 1629376363 · MADISON, NC 27025 · Family Medicine Physician · NPI assigned 03/04/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HAMMOND, SALLY controls 20+ related entities in our dataset. Read more

$2.01M
Total Medicaid Paid
137,007
Total Claims
80,586
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAMMOND, SALLY (EXECUTIVE DIRECTOR)
Parent OrganizationTHE MOSES H. CONE MEMORIAL HOSPITAL
NPI Enumeration Date03/04/2011

Related Entities

Other providers sharing the same authorized official: HAMMOND, SALLY

ProviderCityStateTotal Paid
ALAMANCE REGIONAL MEDICAL CENTER, INC. BURLINGTON NC $30.90M
MOSES CONE AFFILIATED PHYSICIANS, INC. HIGH POINT NC $5.81M
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $4.85M
MOSES CONE PHYSICIAN SERVICES, INC REIDSVILLE NC $4.39M
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $3.94M
MOSES CONE AFFILIATED PHYSICIANS, INC. GREENSBORO NC $3.94M
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $1.49M
ARMC PHYSICIANS CARE, INC. BURLINGTON NC $675K
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $410K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $404K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $263K
MOSES CONE PHYSICIAN SERVICES, INC. REIDSVILLE NC $256K
MOSES CONE AFFILIATED PHYSICIANS, INC. ASHEBORO NC $190K
MOSES CONE PHYSICIAN SERVICES, INC BURLINGTON NC $176K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $150K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $106K
MOSES CONE AFFILIATED PHYSICIANS, INC. BURLINGTON NC $67K
MOSES CONE AFFILIATED PHYSICIANS, INC. ASHEBORO NC $50K
MOSES CONE PHYSICIAN SERVICES, INC. GREENSBORO NC $47K
THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO NC $37K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 42,988 $441K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,459 10,466 $667K
99199 Unlisted special service, procedure or report 108,611 54,473 $657K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,387 10,571 $574K
99442 1,491 1,330 $64K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,490 1,348 $26K
99441 307 282 $7K
90686 851 770 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 29 29 $3K
90472 Immunization administration, each additional vaccine (list separately) 44 42 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 16 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $1K
99215 Prolong outpt/office vis 13 12 $948.56
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 58 52 $592.43
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 29 24 $142.13
96110 Developmental screening, with scoring and documentation, per standardized instrument 13 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) 12 12 $36.36
1159F 381 365 $0.00
3078F 346 330 $0.00
90670 12 12 $0.00
4004F 12 12 $0.00
1036F 40 38 $0.00
90723 12 12 $0.00
3074F 344 327 $0.00
90647 13 13 $0.00
3079F 12 12 $0.00