Clinic
East Carolina Health - Heritage INC
East Carolina Health - Heritage INC was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
33Billing provider infoEAST CAROLINA HEALTH - HERITAGE INC
PINETOPS, NC 27864
PINETOPS, NC 27864
33aNPI1821076589assigned 01/04/2006
33bProvider typeRural Health Clinic/Center
28Total paid$1.27M
24GClaims69,048
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in North Carolina
Rank by total paid#11 of 65
Median peer was paid$156K
This provider vs. median8.1×
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 | 3,656 | $128K | |
| 2019 | 3,412 | $119K | |
| 2020 | 3,083 | $117K | |
| 2021 | 5,934 | $166K | |
| 2022 | 12,522 | $220K | |
| 2023 | 15,758 | $202K | |
| 2024incomplete | 24,683 | $313K |
Box 24 · Service lines
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 | 70% | 16,755 | 11,990 | $891K |
| 99199 | Unlisted special service, procedure or report | 19% | 44,763 | 31,178 | $238K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 6.5% | 924 | 691 | $83K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.3% | 1,662 | 1,349 | $17K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 285 | 226 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 476 | 233 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 316 | 184 | $6K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 340 | 286 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 326 | 319 | $5K |
| 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% | 86 | 53 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 181 | 140 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 18 | 12 | $1K |
12 more codes
| 96127 | <1% | 765 | $548.64 | |
| 90686 | <1% | 528 | $476.14 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 31 | $368.80 |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 32 | $350.80 |
| 92551 | <1% | 298 | $288.28 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 217 | $254.65 |
| 99173 | <1% | 394 | $219.64 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $132.79 |
| 3074F | 0% | 148 | $0.00 | |
| 90656 | 0% | 13 | $0.00 | |
| 1160F | 0% | 343 | $0.00 | |
| 3078F | 0% | 134 | $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 officialHEINS, PATRICK (PRESIDENT)
Parent organizationEAST CAROLINA HEALTH - HERITAGE INC
| Provider | Location | Paid |
|---|---|---|
| East Carolina Health - Heritage INC | Tarboro, NC | $12.89M |
| East Carolina Health - Heritage INC | Tarboro, NC | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.