Medicaid Provider Spending

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

GASTON FAMILY HEALTH SERVICES, INC.

NPI: 1710237367 · STATESVILLE, NC 28677 · Federally Qualified Health Center (FQHC) · NPI assigned 09/11/2012

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

Authorized official ANDERSON, SHARMILA controls 20+ related entities in our dataset. Read more

$4.75M
Total Medicaid Paid
181,282
Total Claims
119,717
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, SHARMILA (BUSINESS SERVICE ADMINISTRATOR)
Parent OrganizationGASTON FAMILY HEALTH SERVICES, INC
NPI Enumeration Date09/11/2012

Related Entities

Other providers sharing the same authorized official: ANDERSON, SHARMILA

ProviderCityStateTotal Paid
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $9.40M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $5.74M
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $3.43M
GASTON FAMILY HEALTH SERVICES, INC. CLAREMONT NC $2.71M
GASTON FAMILY HEALTH SERVICES INC STATESVILLE NC $2.44M
GASTON FAMILY HEALTH SERVICES, INC. LEXINGTON NC $2.38M
GASTON FAMILY HEALTH SERVICES, INC. BESSEMER CITY NC $2.34M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $2.22M
GASTON FAMILY HEALTH SERVICES, INC HICKORY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. SHELBY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. MAIDEN NC $2.01M
GASTON FAMILY HEALTH SERVICES, INC. KINGS MOUNTAIN NC $1.65M
GASTON FAMILY HEALTH SERVICES, INC. MOCKSVILLE NC $1.40M
GASTON FAMILY HEALTH SERVICES INC LINCOLNTON NC $1.37M
GASTON FAMILY HEALTH SERVICES, INC. TAYLORSVILLE NC $1.01M
GASTON FAMILY HEALTH SERVICES, INC. WINSTON SALEM NC $848K
GASTON FAMILY HEALTH SERVICES, INC GASTONIA NC $809K
GASTON FAMILY HEALTH SERVICES, INC. NEWTON NC $723K
GASTON FAMILY HEALTH SERVICES, INC. LAWNDALE NC $702K
GASTON FAMILY HEALTH SERVICES, INC. HICKORY NC $689K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,980 $498K
2019 10,919 $471K
2020 10,562 $456K
2021 23,045 $663K
2022 38,341 $734K
2023 41,441 $801K
2024 44,994 $1.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 27,825 19,818 $3.36M
99199 Unlisted special service, procedure or report 99,761 58,458 $602K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,765 2,055 $193K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,430 1,830 $186K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,200 1,573 $167K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,167 939 $95K
90472 Immunization administration, each additional vaccine (list separately) 4,533 3,410 $44K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 7,173 5,493 $42K
D0145 Oral evaluation for a patient under three years of age 482 392 $13K
92551 6,143 4,738 $9K
D1206 Topical application of fluoride varnish 582 394 $6K
36415 Collection of venous blood by venipuncture 2,231 1,835 $5K
96110 Developmental screening, with scoring and documentation, per standardized instrument 763 577 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 322 307 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 339 307 $4K
99173 6,089 4,726 $4K
85018 2,250 1,828 $3K
90619 88 69 $3K
96160 958 639 $2K
90677 299 278 $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 39 34 $938.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 44 28 $774.18
0001A 26 17 $730.00
90670 713 504 $673.47
96127 356 340 $587.77
90656 302 284 $473.50
90686 1,538 1,255 $458.60
90734 39 26 $408.89
98967 27 14 $364.80
99384 20 12 $337.40
81002 177 159 $300.98
90474 13 13 $178.23
90651 246 181 $105.01
90460 Immunization administration through 18 years of age via any route, first or only component 938 653 $81.80
90688 202 95 $54.64
36416 150 115 $22.12
3078F 3,265 2,567 $0.00
90707 60 36 $0.00
90461 483 356 $0.00
90633 66 52 $0.00
90685 81 59 $0.00
91300 17 15 $0.00
90473 18 12 $0.00
90681 12 12 $0.00
90698 265 221 $0.00
3074F 3,299 2,594 $0.00
3008F 398 334 $0.00
90716 62 37 $0.00
90697 26 26 $0.00