Medicaid Provider Spending

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

GASTON FAMILY HEALTH SERVICES, INC.

NPI: 1770219594 · CONOVER, NC 28613 · Federally Qualified Health Center (FQHC) · NPI assigned 07/25/2022

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

Authorized official ANDERSON, SHARMILA controls 20+ related entities in our dataset. Read more

$303K
Total Medicaid Paid
13,172
Total Claims
7,502
Beneficiaries
13
Codes Billed
2022-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, SHARMILA (MEDICAL BILLING & CODING SUPERVISOR)
Parent OrganizationGASTON FAMILY HEALTH SERVICES, INC.
NPI Enumeration Date07/25/2022

Related Entities

Other providers sharing the same authorized official: ANDERSON, SHARMILA

ProviderCityStateTotal Paid
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $9.40M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $5.74M
GASTON FAMILY HEALTH SERVICES, INC. STATESVILLE NC $4.75M
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $3.43M
GASTON FAMILY HEALTH SERVICES, INC. CLAREMONT NC $2.71M
GASTON FAMILY HEALTH SERVICES INC STATESVILLE NC $2.44M
GASTON FAMILY HEALTH SERVICES, INC. LEXINGTON NC $2.38M
GASTON FAMILY HEALTH SERVICES, INC. BESSEMER CITY NC $2.34M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $2.22M
GASTON FAMILY HEALTH SERVICES, INC HICKORY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. SHELBY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. MAIDEN NC $2.01M
GASTON FAMILY HEALTH SERVICES, INC. KINGS MOUNTAIN NC $1.65M
GASTON FAMILY HEALTH SERVICES, INC. MOCKSVILLE NC $1.40M
GASTON FAMILY HEALTH SERVICES INC LINCOLNTON NC $1.37M
GASTON FAMILY HEALTH SERVICES, INC. TAYLORSVILLE NC $1.01M
GASTON FAMILY HEALTH SERVICES, INC. WINSTON SALEM NC $848K
GASTON FAMILY HEALTH SERVICES, INC GASTONIA NC $809K
GASTON FAMILY HEALTH SERVICES, INC. NEWTON NC $723K
GASTON FAMILY HEALTH SERVICES, INC. LAWNDALE NC $702K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 820 $30K
2023 2,390 $103K
2024 9,962 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 1,633 1,198 $199K
99199 Unlisted special service, procedure or report 9,836 4,999 $71K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 878 682 $19K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 232 204 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 218 172 $2K
87428 20 20 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 137 95 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 90 54 $808.60
90472 Immunization administration, each additional vaccine (list separately) 23 12 $293.91
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 31 15 $264.69
96110 Developmental screening, with scoring and documentation, per standardized instrument 36 24 $165.21
92551 16 12 $33.08
81003 22 15 $17.16