East Carolina University
East Carolina University was paid $22.55M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 26% of everything it billed.
GREENVILLE, NC 27834
Next to other Pediatrics Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 55,815 | $1.79M | |
| 2019 | 62,404 | $2.35M | |
| 2020 | 50,788 | $1.96M | |
| 2021 | 108,251 | $3.07M | |
| 2022 | 247,602 | $3.93M | |
| 2023 | 325,019 | $4.36M | |
| 2024incomplete | 341,689 | $5.09M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 26% | 761,643 | 316,153 | $5.78M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 59,974 | 53,758 | $3.81M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 21,066 | 18,602 | $1.87M |
| 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 | 7.0% | 17,644 | 15,274 | $1.58M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 30,602 | 27,038 | $1.56M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 16,185 | 14,476 | $1.51M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 7,966 | 7,172 | $759K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 9,648 | 3,763 | $565K |
| 99460 | 2.1% | 6,542 | 5,834 | $473K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 2.1% | 1,437 | 298 | $467K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 5,286 | 4,613 | $448K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 20,900 | 18,240 | $385K |
110 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 6,063 | $357K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 2,673 | $275K |
| D0145 | Oral evaluation for a patient under three years of age | 1.2% | 7,960 | $273K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.1% | 4,209 | $238K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,256 | $217K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 1,814 | $190K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 22,760 | $155K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,821 | $146K |
| D1206 | Topical application of fluoride varnish | <1% | 7,959 | $120K |
| 99245 | <1% | 647 | $115K | |
| 99051 | <1% | 4,075 | $103K | |
| 97802 | <1% | 1,245 | $100K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 896 | $99K |
| 97803 | <1% | 2,566 | $92K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,316 | $85K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 774 | $77K |
| 99462 | <1% | 2,036 | $65K | |
| 99307 | <1% | 1,417 | $52K | |
| 96127 | <1% | 8,731 | $46K | |
| 96161 | <1% | 9,973 | $35K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 103 | $33K |
| 99442 | <1% | 934 | $32K | |
| 99443 | <1% | 540 | $25K | |
| 99217 | <1% | 422 | $24K | |
| 83655 | <1% | 1,528 | $21K | |
| 87428 | <1% | 347 | $21K | |
| 0072A | <1% | 436 | $19K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,203 | $16K |
| 90651 | <1% | 2,530 | $16K | |
| 99219 | <1% | 157 | $15K | |
| 99468 | <1% | 20 | $14K | |
| 0071A | <1% | 307 | $13K | |
| 54150 | <1% | 78 | $13K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 156 | $12K |
| 90686 | <1% | 18,137 | $11K | |
| 0002A | <1% | 232 | $11K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 741 | $10K |
| 36415 | Collection of venous blood by venipuncture | <1% | 10,503 | $10K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 69 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 247 | $10K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 62 | $10K |
| 90480 | <1% | 453 | $10K | |
| 96160 | <1% | 2,723 | $10K | |
| 0082A | <1% | 178 | $9K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 61 | $9K |
| 90474 | <1% | 392 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 68 | $8K |
| 80061 | Lipid panel | <1% | 510 | $7K |
| 0001A | <1% | 121 | $6K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 583 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 57 | $6K |
| 0081A | <1% | 110 | $6K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 91 | $5K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 91 | $5K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 310 | $5K |
| 90734 | <1% | 477 | $5K | |
| 0173A | <1% | 93 | $5K | |
| 81025 | <1% | 789 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 25 | $4K |
| 0052A | <1% | 81 | $4K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 113 | $4K |
| 92552 | <1% | 10,503 | $3K | |
| 99441 | <1% | 146 | $3K | |
| 99221 | <1% | 24 | $2K | |
| 99417 | Prolong home eval add 15m | <1% | 18 | $2K |
| 90620 | <1% | 350 | $2K | |
| 99173 | <1% | 19,861 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 18 | $2K |
| 0154A | <1% | 20 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 99401 | <1% | 39 | $1K | |
| 96381 | <1% | 132 | $978.86 | |
| 0051A | <1% | 22 | $965.00 | |
| 90677 | <1% | 2,492 | $782.43 | |
| 90715 | <1% | 480 | $719.38 | |
| 91320 | <1% | 13 | $565.51 | |
| 90656 | <1% | 1,505 | $454.33 | |
| 90697 | <1% | 4,623 | $432.08 | |
| 87210 | <1% | 121 | $326.80 | |
| 81002 | <1% | 106 | $293.31 | |
| 90633 | <1% | 4,090 | $250.10 | |
| 90688 | <1% | 643 | $179.85 | |
| 87807 | <1% | 12 | $169.98 | |
| 92551 | <1% | 2,086 | $155.03 | |
| 82962 | <1% | 69 | $99.44 | |
| 88720 | <1% | 14 | $62.81 | |
| 90696 | <1% | 544 | $0.57 | |
| 90670 | 0% | 12,199 | $0.00 | |
| 90685 | 0% | 1,255 | $0.00 | |
| 1160F | 0% | 1,211 | $0.00 | |
| 90700 | 0% | 329 | $0.00 | |
| 91308 | 0% | 429 | $0.00 | |
| 3078F | 0% | 469 | $0.00 | |
| 90710 | 0% | 799 | $0.00 | |
| 90707 | 0% | 389 | $0.00 | |
| 91300 | 0% | 386 | $0.00 | |
| 90723 | 0% | 6,869 | $0.00 | |
| 90680 | 0% | 7,834 | $0.00 | |
| 90647 | 0% | 5,694 | $0.00 | |
| 90716 | 0% | 374 | $0.00 | |
| 3074F | 0% | 546 | $0.00 | |
| 3044F | 0% | 105 | $0.00 | |
| 90619 | 0% | 763 | $0.00 | |
| 91307 | 0% | 492 | $0.00 | |
| 99000 | 0% | 58 | $0.00 | |
| 91305 | 0% | 178 | $0.00 | |
| 91315 | 0% | 20 | $0.00 | |
| 3079F | 0% | 40 | $0.00 | |
| 3075F | 0% | 12 | $0.00 | |
| 3048F | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| East Carolina University | Greenville, NC | $53.81M |
| East Carolina University | Greenville, NC | $12.27M |
| East Carolina University | Greenville, NC | $9.32M |
| East Carolina University | Greenville, NC | $4.07M |
| East Carolina University | Greenville, NC | $2.92M |
| Ecu Medicine Neurology Services | Greenville, NC | $2.18M |
| East Carolina University | Greenville, NC | $1.95M |
| Ecu Medicine Neurology Mri | Greenville, NC | $1.45M |
| East Carolina University | Greenville, NC | $877K |
| East Carolina University | Winterville, NC | $258K |
| East Carolina University | Greenville, NC | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.