Orange County

Orange County was paid $2.27M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 84% of everything it billed.

33Billing provider infoORANGE COUNTY
HILLSBOROUGH, NC 27278

33aNPI1760576722assigned 10/03/2006

33bProvider typeFamily Medicine Physician

28Total paid$2.27M

24GClaims375,487

24DCodes billed40

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#52 of 960

Median peer was paid$135K

This provider vs. median17×

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	3,217	$104K
2019	2,532	$86K
2020	1,707	$50K
2021	34,654	$238K
2022	94,231	$541K
2023	110,861	$566K
2024incomplete	128,285	$682K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	84%	362,293	290,252	$1.91M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.8%	2,050	1,591	$132K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.2%	3,959	3,343	$49K
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	1.6%	395	294	$36K
97803		1.5%	832	587	$35K
90472	Immunization administration, each additional vaccine (list separately)	1.4%	1,245	1,069	$31K
97802		<1%	231	176	$15K
96152		<1%	254	179	$15K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	132	121	$13K
99502		<1%	179	166	$10K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	412	320	$3K
90686		<1%	1,331	1,174	$3K

28 more codes

99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	25	$3K
99501		<1%	46	$3K
96127		<1%	235	$2K
36415	Collection of venous blood by venipuncture	<1%	833	$2K
90651		<1%	61	$984.54
90734		<1%	86	$595.00
90715		<1%	99	$318.42
90656		<1%	60	$312.18
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	20	$306.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	21	$204.48
96160		<1%	41	$168.30
86787		<1%	12	$145.18
87086	Culture, bacterial; quantitative colony count, urine	<1%	14	$98.67
81025		<1%	13	$88.44
90707		<1%	35	$78.72
85018		<1%	30	$57.19
96161		<1%	14	$52.36
99173		<1%	138	$48.54
81002		<1%	14	$45.50
92551		<1%	91	$1.00
86592		0%	62	$0.00
90716		0%	33	$0.00
87800		0%	14	$0.00
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	0%	62	$0.00
90619		0%	28	$0.00
90670		0%	53	$0.00
90685		0%	17	$0.00
87210		0%	17	$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 officialSTEWART, QUINTANA (HEALTH DIRECTOR)

Parent organizationORANGE COUNTY