Clinic
Cleco Primary Care Network
Cleco Primary Care Network was paid $2.02M by Medicaid between Jan 2018 and Feb 2023, across 10 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoCLECO PRIMARY CARE NETWORK
SHELBY, NC 28150
SHELBY, NC 28150
33aNPI1669443487assigned 01/30/2006
33bProvider typeRural Health Clinic/Center
28Total paid$2.02M
24GClaims77,914
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Rural Health Clinic/Center providers in North Carolina
Rank by total paid#9 of 65
Median peer was paid$156K
This provider vs. median13×
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 | 7,767 | $417K | |
| 2019 | 7,518 | $407K | |
| 2020 | 7,482 | $356K | |
| 2021 | 22,425 | $452K | |
| 2022 | 31,352 | $381K | |
| 2023 | 1,370 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 88% | 33,502 | 25,622 | $1.77M |
| 99199 | Unlisted special service, procedure or report | 12% | 38,446 | 26,064 | $234K |
| 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 | <1% | 2,352 | 2,073 | $7K |
| 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% | 2,669 | 2,237 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 735 | 632 | $2K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 77 | 72 | $2K |
| 81003 | <1% | 53 | 51 | $143.00 | |
| 90688 | <1% | 32 | 28 | $89.25 | |
| 81002 | <1% | 15 | 13 | $35.75 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 33 | 29 | $28.80 |
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 officialJORDAN, MICHELLE (FINANCIAL MANAGER)
Parent organizationCLECO PRIMARY CARE NETWORK
| Provider | Location | Paid |
|---|---|---|
| Cleco Primary Care Network | Kings Mountain, NC | $704K |
| Cleco Primary Care Network | Lawndale, NC | $560K |
| Carolina Oncology Specialist PA | Charlotte, NC | $218K |
| Spring Street Dental | Jeffersonville, IN | $186K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.