Medicaid Provider Spending

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

DURHAM COUNTY HEALTH DEPARTMENT PHARMACY

NPI: 1720414980 · DURHAM, NC 27701 · Pharmacy · NPI assigned 09/19/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 99199 with only 1 total codes billed. Highly concentrated billing profile.

$1.07M
Total Medicaid Paid
224,585
Total Claims
221,093
Beneficiaries
1
Codes Billed
2021-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILLIAMS, MICHELLE (ACCOUNTING TECHNICIAN II)
NPI Enumeration Date09/19/2013

Related Entities

Other providers sharing the same authorized official: WILLIAMS, MICHELLE

ProviderCityStateTotal Paid
SOUND MIND BEHAVIORAL WELLNESS TOLEDO OH $199K
SEDAN CITY HOSPITAL SEDAN KS $196K
INTERCOMMUNITY CARDIOLOGY A MEDICAL GROUP LA PALMA CA $177K
EYES ON YOU RAHWAY NJ $62K
SIRONA INTEGRATIVE HEALTH LLC PORTLAND OR $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 31,662 $151K
2022 60,273 $287K
2023 66,807 $319K
2024 65,843 $316K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 224,585 221,093 $1.07M