Granville Health System
Granville Health System was paid $2.94M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
OXFORD, NC 27565
Next to other Rural Health Clinic/Center providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,434 | $205K | |
| 2019 | 4,597 | $187K | |
| 2020 | 6,815 | $329K | |
| 2021 | 11,718 | $522K | |
| 2022 | 19,379 | $595K | |
| 2023 | 20,833 | $533K | |
| 2024incomplete | 19,295 | $573K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 85% | 31,812 | 23,373 | $2.50M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 1,366 | 1,110 | $111K |
| 99199 | Unlisted special service, procedure or report | 3.6% | 31,115 | 30,386 | $105K |
| 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% | 7,695 | 5,360 | $64K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 441 | 408 | $36K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.0% | 1,099 | 1,018 | $31K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,451 | 1,319 | $28K |
| 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% | 2,305 | 1,911 | $22K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,416 | 2,190 | $15K |
| 81003 | <1% | 4,927 | 3,167 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 290 | 265 | $4K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 64 | 56 | $4K |
24 more codes
| 81025 | <1% | 515 | $3K | |
| 90474 | <1% | 200 | $3K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 77 | $2K |
| 96161 | <1% | 296 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 246 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 25 | $364.25 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $323.44 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $174.84 |
| 81000 | <1% | 23 | $76.57 | |
| 99173 | <1% | 59 | $25.81 | |
| 92551 | <1% | 42 | $1.00 | |
| 90670 | 0% | 430 | $0.00 | |
| 90633 | 0% | 27 | $0.00 | |
| 99307 | 0% | 43 | $0.00 | |
| 90685 | 0% | 60 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 354 | $0.00 |
| 90680 | 0% | 276 | $0.00 | |
| 90647 | 0% | 85 | $0.00 | |
| 90698 | 0% | 149 | $0.00 | |
| 90677 | 0% | 44 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 90686 | 0% | 26 | $0.00 | |
| 90723 | 0% | 60 | $0.00 | |
| 99174 | 0% | 15 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Granville Health System | Oxford, NC | $13.31M |
| Granville Health System | Creedmoor, NC | $2.34M |
| Granville Health System | Oxford, NC | $731K |
| Granville Health System | Oxford, NC | $569K |
| Granville Health INC. | Oxford, NC | $268K |
| Granville Health INC. | Oxford, NC | $259K |
| Granville Health INC | Oxford, NC | $158K |
| Granville Health INC | Oxford, NC | $150K |
| Granville Health System | Oxford, NC | $119K |
| Granville Health System | Oxford, NC | $87K |
| Granville Health System | Oxford, NC | $37K |
| Granville Health INC. | Oxford, NC | $22K |
| Granville Health INC | Oxford, NC | $11K |
| Granville Health System | Oxford, NC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.