Medicaid Provider Spending

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

EAST CAROLINA HEALTH - HERITAGE INC

NPI: 1699757393 · TARBORO, NC 27886 · General Acute Care Hospital · NPI assigned 11/17/2005

$12.89M
Total Medicaid Paid
300,086
Total Claims
272,989
Beneficiaries
108
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHEINS, PATRICK (PRESIDENT)
NPI Enumeration Date11/17/2005

Related Entities

Other providers sharing the same authorized official: HEINS, PATRICK

ProviderCityStateTotal Paid
EAST CAROLINA HEALTH - HERITAGE INC PINETOPS NC $1.27M
EAST CAROLINA HEALTH - HERITAGE INC TARBORO NC $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 45,073 $1.29M
2019 40,575 $1.30M
2020 30,574 $706K
2021 33,204 $1.44M
2022 33,949 $2.15M
2023 51,049 $2.76M
2024 65,662 $3.25M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 18,057 16,997 $2.18M
99283 Emergency department visit for the evaluation and management, moderate severity 24,135 22,861 $2.03M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 10,058 9,448 $1.40M
0225U 2,626 2,484 $1.00M
74177 Computed tomography, abdomen and pelvis; with contrast material 1,223 1,123 $722K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 4,793 4,563 $719K
70450 Computed tomography, head or brain; without contrast material 3,885 3,693 $640K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,819 11,951 $399K
96375 Therapeutic injection; each additional sequential IV push 7,733 6,932 $360K
96361 Intravenous infusion, hydration; each additional hour 6,062 5,434 $346K
71045 Radiologic examination, chest; single view 9,401 8,861 $326K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,160 3,810 $269K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,558 10,719 $260K
99282 Emergency department visit for the evaluation and management, low to moderate severity 3,073 2,950 $204K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 29,081 25,731 $189K
80053 Comprehensive metabolic panel 25,553 22,707 $184K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 6,640 6,265 $171K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 4,245 3,286 $138K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,639 1,279 $98K
84484 10,227 9,164 $89K
71046 Radiologic examination, chest; 2 views 1,865 1,819 $86K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 356 336 $75K
83880 3,110 2,960 $71K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,708 2,496 $70K
87631 830 821 $70K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1,721 1,616 $68K
81025 7,294 6,777 $59K
83735 10,079 9,422 $57K
83690 6,681 6,220 $43K
81001 13,789 12,949 $41K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 779 748 $37K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 521 498 $36K
87088 3,525 3,342 $31K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,642 2,340 $29K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 997 939 $28K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 376 362 $24K
74176 Computed tomography, abdomen and pelvis; without contrast material 49 44 $23K
84443 Thyroid stimulating hormone (TSH) 1,731 1,631 $22K
72125 Computed tomography, cervical spine; without contrast material 84 81 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 545 509 $20K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 351 208 $19K
J7030 Infusion, normal saline solution , 1000 cc 3,542 2,660 $17K
J3490 Unclassified drugs 3,207 2,580 $16K
85610 5,484 5,187 $15K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 643 626 $15K
82962 5,790 5,274 $13K
0202U Oncology (prostate), multianalyte, gene expression profiling 313 308 $12K
87040 838 803 $10K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,535 3,284 $10K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 267 249 $8K
80048 Basic metabolic panel (calcium, ionized) 1,027 957 $8K
81003 2,874 2,684 $7K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 129 46 $7K
83605 736 675 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 204 189 $7K
71275 Computed tomographic angiography, chest, with contrast material 24 24 $6K
82728 610 585 $6K
87430 377 364 $5K
84466 576 552 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,369 2,158 $5K
94664 172 164 $4K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 173 162 $4K
74022 69 66 $4K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 58 58 $3K
97161 116 113 $3K
36415 Collection of venous blood by venipuncture 1,924 1,293 $3K
83540 576 552 $3K
71260 Computed tomography, thorax, diagnostic; with contrast material 14 13 $3K
82607 244 239 $2K
82077 1,296 1,162 $2K
85730 363 337 $2K
84702 169 151 $2K
87081 222 216 $1K
87590 63 60 $1K
87077 149 144 $1K
85652 363 342 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 204 193 $976.68
82746 101 99 $926.58
87807 60 60 $699.72
85379 90 89 $664.01
87070 73 70 $654.53
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 138 135 $652.98
86769 28 28 $568.02
87186 57 55 $559.92
82565 134 123 $475.47
V2632 Posterior chamber intraocular lens 57 57 $474.60
J3010 Injection, fentanyl citrate, 0.1 mg 256 239 $447.24
85027 67 64 $419.81
96376 14 14 $411.91
85007 138 132 $351.32
80076 44 41 $309.69
96367 13 12 $251.64
87015 31 31 $241.28
0352U 12 12 $237.86
83921 12 12 $211.34
C9113 Injection, pantoprazole sodium, per vial 38 36 $111.02
J2919 Injection, methylprednisolone sodium succinate, 5 mg 16 14 $108.84
82248 28 28 $105.70
99199 Unlisted special service, procedure or report 13 13 $65.00
83615 15 15 $63.24
G1010 Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program 798 647 $47.77
J2270 Injection, morphine sulfate, up to 10 mg 26 24 $45.92
84100 16 13 $41.37
J1200 Injection, diphenhydramine hcl, up to 50 mg 12 12 $38.55
J7120 Ringers lactate infusion, up to 1000 cc 35 30 $28.63
J2765 Injection, metoclopramide hcl, up to 10 mg 15 14 $15.26
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 14 12 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 14 12 $0.00