Medicaid Provider Spending

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

CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC

NPI: 1750616108 · SAINT PAULS, NC 28384 · Family Medicine Physician · NPI assigned 10/02/2009

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

Authorized official FISER, JOSEPH controls 20+ related entities in our dataset. Read more

$342K
Total Medicaid Paid
27,380
Total Claims
19,397
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFISER, JOSEPH (VP MANAGED CARE AND REVENUE CYCLE)
NPI Enumeration Date10/02/2009

Related Entities

Other providers sharing the same authorized official: FISER, JOSEPH

ProviderCityStateTotal Paid
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $75.79M
CFVHS ED PHYSICIANS FAYETTEVILLE NC $26.24M
HOKE HEALTHCARE LLC RAEFORD NC $24.80M
HARNETT HEALTH SYSTEM, INC. DUNN NC $23.37M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $19.73M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $8.69M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $8.04M
BLADEN HEALTHCARE LLC ELIZABETHTOWN NC $7.78M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $7.71M
HARNETT HEALTH SYSTEM INC DUNN NC $6.94M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $6.61M
BLADEN HEALTHCARE, LLC ELIZABETHTOWN NC $5.01M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $4.82M
HOKE HEALTHCARE, LLC RAEFORD NC $2.73M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $2.70M
CFV SPECIALTY CARE BILLING SERVICES, LLC FAYETTEVILLE NC $2.33M
BLADEN HEALTHCARE LLC ELIZABETHTOWN NC $2.14M
CFV EXPRESS CARE BILLING SERVICES LLC FAYETTEVILLE NC $1.43M
HOKE HEALTHCARE, LLC RAEFORD NC $1.38M
CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE NC $1.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,373 $36K
2019 1,368 $36K
2020 1,200 $37K
2021 2,264 $43K
2022 5,936 $58K
2023 7,369 $63K
2024 7,870 $69K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,278 4,554 $215K
99199 Unlisted special service, procedure or report 19,591 12,663 $110K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 320 267 $11K
83036 Hemoglobin; glycosylated (A1C) 368 345 $2K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 544 454 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 112 87 $963.84
82947 587 531 $878.24
90686 45 43 $428.92
81003 228 208 $325.88
36415 Collection of venous blood by venipuncture 173 150 $199.80
90656 14 14 $165.14
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 18 16 $54.84
T1015 Clinic visit/encounter, all-inclusive 32 22 $0.00
98967 58 31 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00