The Presbyterian Hospital
The Presbyterian Hospital was paid $41K by Medicaid between Feb 2018 and Sep 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 93% of everything it billed.
MONROE, NC 28112
Next to other Cardiovascular Disease 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 | 898 | $7K | |
| 2019 | 853 | $8K | |
| 2020 | 129 | $2K | |
| 2021 | 203 | $8K | |
| 2022 | 231 | $9K | |
| 2023 | 256 | $8K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 93% | 1,396 | 1,112 | $38K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.4% | 62 | 53 | $3K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 289 | 237 | $0.00 |
| G8541 | Functional outcome assessment using a standardized tool not documented, reason not given | 0% | 343 | 264 | $0.00 |
| G8442 | Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter | 0% | 12 | 12 | $0.00 |
| G8432 | Depression screening not documented, reason not given | 0% | 198 | 156 | $0.00 |
| 1036F | 0% | 123 | 102 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 15 | 15 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 43 | 36 | $0.00 |
| G8536 | No documentation of an elder maltreatment screen, reason not given | 0% | 47 | 38 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 42 | 27 | $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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.