Lab
Gaston County
Gaston County was paid $5.04M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 56% of everything it billed.
33Billing provider infoGASTON COUNTY
GASTONIA, NC 28052
GASTONIA, NC 28052
33aNPI1770699514assigned 08/22/2006
33bProvider typeClinical Medical Laboratory
28Total paid$5.04M
24GClaims607,959
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in North Carolina
Rank by total paid#20 of 128
Median peer was paid$268K
This provider vs. median19×
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 | 14,983 | $364K | |
| 2019 | 15,061 | $499K | |
| 2020 | 9,039 | $410K | |
| 2021 | 53,714 | $688K | |
| 2022 | 166,779 | $1.21M | |
| 2023 | 174,927 | $954K | |
| 2024incomplete | 173,456 | $912K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 56% | 531,158 | 522,444 | $2.84M |
| 59426 | 13% | 930 | 885 | $666K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.6% | 5,386 | 4,970 | $182K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 8,228 | 7,473 | $115K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 4,316 | 3,889 | $112K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 1,499 | 1,358 | $110K |
| 59510 | 2.1% | 73 | 69 | $106K | |
| 59025 | Fetal non-stress test | 2.0% | 3,572 | 2,297 | $100K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 1.9% | 5,124 | 4,719 | $93K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.7% | 603 | 488 | $85K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.6% | 1,697 | 1,530 | $82K |
| 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 | 1.2% | 537 | 442 | $61K |
44 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.1% | 425 | $57K |
| 81025 | 1.1% | 6,917 | $55K | |
| 76801 | 1.1% | 500 | $53K | |
| 96127 | 1.0% | 13,242 | $52K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 314 | $40K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 28 | $37K |
| 90715 | <1% | 2,503 | $27K | |
| 87210 | <1% | 2,420 | $22K | |
| 90651 | <1% | 1,396 | $16K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,908 | $16K |
| 59425 | <1% | 25 | $9K | |
| 90734 | <1% | 974 | $9K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 106 | $8K |
| 90620 | <1% | 576 | $8K | |
| 59430 | <1% | 58 | $7K | |
| 90686 | <1% | 1,585 | $6K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 425 | $6K |
| 82950 | <1% | 1,047 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 51 | $6K |
| 82947 | <1% | 985 | $6K | |
| 90480 | <1% | 101 | $5K | |
| 90619 | <1% | 1,738 | $5K | |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 14 | $5K |
| 90716 | <1% | 144 | $4K | |
| 82951 | <1% | 196 | $3K | |
| 99406 | <1% | 298 | $3K | |
| 96160 | <1% | 555 | $2K | |
| 11981 | <1% | 12 | $1K | |
| 99407 | <1% | 56 | $1K | |
| 81003 | <1% | 312 | $807.46 | |
| 90707 | <1% | 64 | $684.19 | |
| 82948 | <1% | 150 | $513.17 | |
| 85018 | <1% | 145 | $394.38 | |
| 90633 | <1% | 646 | $358.00 | |
| 91320 | <1% | 17 | $355.35 | |
| 90656 | <1% | 99 | $231.02 | |
| 90714 | <1% | 13 | $230.10 | |
| 90744 | <1% | 43 | $69.60 | |
| 90696 | <1% | 216 | $54.00 | |
| 90713 | <1% | 68 | $33.00 | |
| 90710 | 0% | 357 | $0.00 | |
| 90670 | 0% | 27 | $0.00 | |
| 91319 | 0% | 13 | $0.00 | |
| J1726 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | 0% | 67 | $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 officialASHWORTH, CAROLYN (PATIENT ACCOUNTS SUPERVISOR)
| Provider | Location | Paid |
|---|---|---|
| Primary Care Clinic | Birmingham, AL | $1.89M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.