Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Goldsboro › NPI 1760417570
Lab

Waynesboro Family Clinic

Waynesboro Family Clinic was paid $32.79M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 35% of everything it billed.

33Billing provider infoWAYNESBORO FAMILY CLINIC
GOLDSBORO, NC 27534
33aNPI1760417570assigned 07/11/2006
28Total paid$32.79M
24GClaims269,643
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in North Carolina

Rank by total paid#10 of 128
Median peer was paid$268K
This provider vs. median122×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201832,620$3.13M
201934,389$3.34M
202038,356$4.93M
202141,851$5.48M
202238,966$5.23M
202338,379$4.80M
2024incomplete45,082$5.89M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0040 Assertive community treatment program, per diem 35% 64,377 7,822 $11.46M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 21% 33,481 3,793 $6.82M
H0038 Self-help/peer services, per 15 minutes 14% 30,706 4,889 $4.60M
H2012 Behavioral health day treatment, per hour 6.5% 12,784 793 $2.14M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 6.3% 28,744 18,888 $2.06M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.5% 32,921 26,647 $1.48M
H2022 Community-based wrap-around services, per diem 3.6% 4,569 434 $1.17M
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 1.8% 9,114 7,273 $594K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 1.7% 3,211 2,742 $573K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 1.2% 3,986 3,462 $386K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 4,793 3,932 $316K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 4,075 2,779 $216K
24 more codes
99204 Doctor's office visit, new patient (more involved) <1% 1,636 $174K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 3,818 $126K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed <1% 1,335 $114K
96131 <1% 630 $73K
96130 <1% 730 $63K
84443 Thyroid stimulating hormone (TSH) <1% 3,440 $63K
90832 Psychotherapy session, about 30 minutes <1% 1,311 $58K
80061 Lipid panel <1% 3,606 $54K
90847 Family psychotherapy with the patient present, 50 minutes <1% 598 $41K
84439 <1% 3,757 $37K
80053 Comprehensive metabolic panel <1% 3,330 $33K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,270 $29K
84481 <1% 1,393 $25K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,871 $19K
96101 <1% 122 $17K
98966 <1% 1,238 $15K
99215 Doctor's office visit, returning patient (complex) <1% 321 $12K
36415 Collection of venous blood by venipuncture <1% 4,070 $10K
98968 <1% 156 $4K
98967 <1% 162 $3K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 12 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed <1% 40 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 14 $474.04
80050 General health panel <1% 22 $136.80

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 officialVANNOSKE, NITA (CLINIC ADMINISTRATOR)