Medicaid Provider Spending

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

CURANA HEALTH OF NORTH CAROLINA PLLC

NPI: 1770217176 · DURHAM, NC 27713 · Internal Medicine Physician · NPI assigned 07/12/2022

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

Authorized official HOWARD, NICOLE controls 20+ related entities in our dataset. Read more

$740K
Total Medicaid Paid
57,899
Total Claims
32,830
Beneficiaries
25
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHOWARD, NICOLE (SR VP OF ADMINISTRATIVE SERVICES)
NPI Enumeration Date07/12/2022

Related Entities

Other providers sharing the same authorized official: HOWARD, NICOLE

ProviderCityStateTotal Paid
CURANA HEALTH OF SOUTH CAROLINA PC NORTH CHARLESTON SC $6.39M
CURANA HEALTH OF LOUISIANA LLC BATON ROUGE LA $4.87M
CURANA HEALTH OF MASSACHUSETTS LLC SPRINGFIELD MA $2.59M
PHYSICIANS ELDERCARE PA DURHAM NC $2.57M
CURANA HEALTH OF MISSOURI-KANSAS LLC LEES SUMMIT MO $1.45M
CURANA HEALTH OF MISSISSIPPI LLC FLOWOOD MS $1.35M
KENTWOOD FAMILY CLINIC LLC KENTWOOD LA $1.19M
CURANA HEALTH MEDICAL GROUP LLC AUSTIN TX $778K
CURANA HEALTH OF NEW MEXICO LLC ESPANOLA NM $771K
CURANA HEALTH OF NEVADA PLLC RENO NV $696K
CURANA HEALTH OF ARKANSAS LLC BENTONVILLE AR $522K
CURANA HEALTH OF IOWA PLLC OSCEOLA IA $425K
CURANA HEALTH OF TENNESSEE LLC MEMPHIS TN $318K
CURANA HEALTH OF ALABAMA LLC BIRMINGHAM AL $185K
CURANA HEALTH OF INDIANA LLC CORYDON IN $176K
CH SPECIALTY SERVICES NV REQUEIJO PC CARSON CITY NV $125K
CH SPECIALTY SERVICES TX PLLC AUSTIN TX $101K
CH SPECIALTY SERVICES MO LLC LEES SUMMIT MO $93K
CURANA HEALTH OF WEST VIRGINIA LLC MARTINSBURG WV $88K
CH SPECIALTY SERVICES MA PC SPRINGFIELD MA $79K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 31,763 $330K
2024 26,136 $409K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 28,917 15,283 $454K
99310 Prolong nursin fac eval 15m 5,777 3,131 $239K
99308 Subsequent nursing facility care, per day, straightforward 2,509 1,264 $29K
99305 296 192 $11K
99306 Prolong nursin fac eval 15m 165 91 $6K
99304 24 12 $678.73
99497 54 45 $296.21
1159F 4,171 2,421 $0.00
3078F 3,148 2,003 $0.00
1160F 4,167 2,419 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 858 579 $0.00
1124F 187 140 $0.00
99358 Prolong nursin fac eval 15m 29 14 $0.00
3008F 115 61 $0.00
1123F 488 296 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 1,015 816 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 1,079 722 $0.00
3074F 2,104 1,359 $0.00
3044F 689 492 $0.00
3075F 92 72 $0.00
1126F 1,712 1,149 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 139 136 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 98 93 $0.00
1125F 47 27 $0.00
3079F 19 13 $0.00