Agency
Wayne Initiatives for School Health
Wayne Initiatives for School Health was paid $714K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 34% of everything it billed.
33Billing provider infoWAYNE INITIATIVES FOR SCHOOL HEALTH
GOLDSBORO, NC 27530
GOLDSBORO, NC 27530
33aNPI1730285511assigned 09/16/2006
33bProvider typePublic Health or Welfare Agency
28Total paid$714K
24GClaims64,427
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Public Health or Welfare Agency providers in North Carolina
Rank by total paid#15 of 25
Median peer was paid$1.15M
This provider vs. median0.6×
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 | 8,073 | $82K | |
| 2019 | 9,120 | $107K | |
| 2020 | 4,435 | $45K | |
| 2021 | 8,733 | $95K | |
| 2022 | 13,893 | $127K | |
| 2023 | 11,759 | $134K | |
| 2024incomplete | 8,414 | $124K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 34% | 3,002 | 2,351 | $246K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 4,639 | 3,376 | $231K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 10% | 7,712 | 5,647 | $72K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.4% | 2,202 | 1,617 | $39K |
| 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 | 5.3% | 542 | 383 | $38K |
| 96160 | 3.4% | 7,605 | 6,255 | $24K | |
| 96127 | 2.1% | 4,146 | 3,173 | $15K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 480 | 320 | $8K |
| 85018 | 1.1% | 4,645 | 3,563 | $8K | |
| 81002 | 1.0% | 4,319 | 3,232 | $7K | |
| 92551 | <1% | 4,118 | 3,152 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 59 | 45 | $4K |
16 more codes
| 99384 | <1% | 53 | $4K | |
| 99173 | <1% | 4,153 | $3K | |
| 94760 | <1% | 14,484 | $2K | |
| 90619 | <1% | 115 | $2K | |
| 94150 | <1% | 160 | $2K | |
| 94664 | <1% | 144 | $1K | |
| 99201 | <1% | 32 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $389.22 |
| 90734 | <1% | 916 | $285.69 | |
| 90649 | <1% | 388 | $268.74 | |
| 80061 | Lipid panel | <1% | 18 | $165.30 |
| 90658 | <1% | 261 | $118.70 | |
| 90686 | <1% | 14 | $58.11 | |
| 90715 | <1% | 171 | $46.50 | |
| 99401 | 0% | 20 | $0.00 | |
| 90651 | 0% | 13 | $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 officialHILL, PHYLLIS (DIRECTOR)