Agency
County of Cleveland North Carolina
County of Cleveland North Carolina was paid $6.67M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 44% of everything it billed.
33Billing provider infoCOUNTY OF CLEVELAND NORTH CAROLINA
SHELBY, NC 28152
SHELBY, NC 28152
33aNPI1720151525assigned 11/17/2006
33bProvider typeCase Management Agency
28Total paid$6.67M
24GClaims706,211
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#44 of 195
Median peer was paid$2.05M
This provider vs. median3.2×
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 | 38,045 | $858K | |
| 2019 | 28,455 | $708K | |
| 2020 | 17,908 | $406K | |
| 2021 | 85,842 | $997K | |
| 2022 | 177,490 | $1.33M | |
| 2023 | 180,312 | $1.17M | |
| 2024incomplete | 178,159 | $1.21M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 44% | 554,377 | 477,833 | $2.96M |
| 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 | 9.4% | 5,241 | 4,187 | $626K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 5,748 | 4,467 | $419K |
| 59426 | 6.2% | 648 | 617 | $414K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.8% | 9,549 | 7,569 | $318K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.2% | 1,766 | 1,437 | $210K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 4,519 | 4,427 | $141K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.7% | 3,771 | 3,688 | $111K |
| D1206 | Topical application of fluoride varnish | 1.6% | 6,079 | 5,930 | $110K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 1,995 | 1,948 | $95K |
| 99600 | Unlisted home visit service or procedure | 1.3% | 1,090 | 659 | $88K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 1,031 | 401 | $86K |
92 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.3% | 2,421 | $84K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 6,296 | $81K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 1,372 | $62K |
| 81025 | <1% | 8,545 | $62K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,152 | $60K |
| 87210 | <1% | 7,733 | $58K | |
| D1351 | Sealant - per tooth | <1% | 1,830 | $55K |
| D0330 | Panoramic radiographic image | <1% | 846 | $53K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,331 | $52K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 359 | $39K |
| T1002 | Rn services, up to 15 minutes | <1% | 968 | $33K |
| 86592 | <1% | 6,137 | $30K | |
| 82120 | <1% | 7,645 | $28K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,334 | $28K |
| D1110 | Prophylaxis - adult | <1% | 657 | $27K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,739 | $26K |
| 0001A | <1% | 452 | $25K | |
| 0002A | <1% | 557 | $25K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 3,569 | $22K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 4,846 | $19K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 4,909 | $18K |
| D0274 | Bitewings - four radiographic images | <1% | 499 | $17K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 161 | $15K |
| 85018 | <1% | 5,312 | $14K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,430 | $13K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 81 | $13K |
| 90715 | <1% | 1,316 | $10K | |
| 90651 | <1% | 633 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,183 | $8K |
| 90734 | <1% | 1,140 | $8K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 471 | $8K |
| 96127 | <1% | 1,767 | $8K | |
| 59025 | Fetal non-stress test | <1% | 212 | $6K |
| 0071A | <1% | 118 | $6K | |
| 90682 | <1% | 206 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 54 | $5K |
| 0072A | <1% | 89 | $5K | |
| 82950 | <1% | 817 | $5K | |
| 0004A | <1% | 100 | $5K | |
| 59425 | <1% | 13 | $5K | |
| 87081 | <1% | 687 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $3K |
| 87400 | <1% | 228 | $3K | |
| 80061 | Lipid panel | <1% | 196 | $3K |
| 81002 | <1% | 1,158 | $3K | |
| 83986 | <1% | 486 | $2K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 25 | $2K |
| 90619 | <1% | 797 | $2K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 13 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17 | $2K |
| 90686 | <1% | 675 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 84 | $1K |
| 99441 | <1% | 319 | $1K | |
| 90716 | <1% | 49 | $1K | |
| 86703 | <1% | 3,701 | $1K | |
| 99406 | <1% | 87 | $978.26 | |
| 90673 | <1% | 15 | $822.69 | |
| 90688 | <1% | 184 | $787.68 | |
| 99402 | <1% | 2,141 | $696.41 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 73 | $595.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 80 | $505.94 |
| 92551 | <1% | 557 | $479.24 | |
| 90620 | <1% | 41 | $433.78 | |
| 82951 | <1% | 28 | $392.88 | |
| 90480 | <1% | 13 | $356.51 | |
| 90707 | <1% | 14 | $138.46 | |
| 90633 | <1% | 206 | $129.20 | |
| 96160 | <1% | 31 | $112.20 | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 521 | $102.22 |
| 86787 | <1% | 1,115 | $72.24 | |
| 90656 | <1% | 17 | $61.59 | |
| 86803 | <1% | 26 | $53.36 | |
| 99173 | <1% | 592 | $42.54 | |
| 82947 | <1% | 15 | $39.92 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,153 | $37.16 |
| 99401 | <1% | 3,563 | $29.94 | |
| 91300 | <1% | 1,229 | $20.01 | |
| 82105 | <1% | 37 | $9.00 | |
| 86900 | 0% | 1,073 | $0.00 | |
| 83020 | 0% | 520 | $0.00 | |
| 90713 | 0% | 12 | $0.00 | |
| 90700 | 0% | 26 | $0.00 | |
| 90710 | 0% | 46 | $0.00 | |
| 87149 | 0% | 93 | $0.00 | |
| 86901 | 0% | 1,086 | $0.00 | |
| 99000 | 0% | 515 | $0.00 | |
| 86850 | 0% | 1,106 | $0.00 | |
| 86762 | 0% | 1,081 | $0.00 | |
| 87340 | 0% | 1,080 | $0.00 | |
| 91301 | 0% | 28 | $0.00 | |
| 91307 | 0% | 225 | $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 officialHANSEN, TIFFANY (HEALTH DIRECTOR)
Parent organizationCOUNTY OF CLEVELAND NORTH CAROLINA