Clinic
Piedmont Health Services, INC
Piedmont Health Services, INC was paid $2.00M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 65% of everything it billed.
33Billing provider infoPIEDMONT HEALTH SERVICES, INC
SILER CITY, NC 27344
SILER CITY, NC 27344
33aNPI1821192865assigned 09/11/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.00M
24GClaims128,785
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#49 of 324
Median peer was paid$279K
This provider vs. median7.2×
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.
Entity ProliferationAuthorized official TOOMEY, BRIAN controls 12+ related entities in our dataset. Read more
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 | 5,490 | $279K | |
| 2019 | 4,395 | $280K | |
| 2020 | 3,520 | $261K | |
| 2021 | 11,115 | $252K | |
| 2022 | 26,795 | $187K | |
| 2023 | 35,334 | $235K | |
| 2024incomplete | 42,136 | $505K |
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 | 65% | 12,961 | 9,238 | $1.30M |
| 99199 | Unlisted special service, procedure or report | 31% | 109,088 | 56,992 | $613K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 284 | 235 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 221 | 195 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,240 | 1,033 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 574 | 504 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 129 | 101 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 56 | 43 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 381 | 315 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 89 | 82 | $3K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 121 | 53 | $3K |
| 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% | 113 | 86 | $2K |
18 more codes
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 176 | $2K |
| 96160 | <1% | 900 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 89 | $1K |
| 0012A | <1% | 12 | $455.00 | |
| 0011A | <1% | 13 | $336.94 | |
| 90656 | <1% | 50 | $74.63 | |
| 92551 | <1% | 915 | $65.54 | |
| 99173 | <1% | 1,027 | $38.00 | |
| 96127 | <1% | 12 | $8.98 | |
| 90716 | 0% | 35 | $0.00 | |
| 90723 | 0% | 40 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| 90645 | 0% | 55 | $0.00 | |
| 91301 | 0% | 35 | $0.00 | |
| 3008F | 0% | 13 | $0.00 | |
| 90651 | 0% | 17 | $0.00 | |
| 90707 | 0% | 35 | $0.00 | |
| 90670 | 0% | 90 | $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 officialTOOMEY, BRIAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Piedmont Health Services, INC | Carrboro, NC | $16.87M |
| Piedmont Health Services, INC | Burlington, NC | $6.22M |
| Piedmont Health Services, INC | Burlington, NC | $3.31M |
| Piedmont Health Services, INC | Burlington, NC | $2.76M |
| Piedmont Health Services, INC | Prospect Hill, NC | $1.99M |
| Piedmont Health Services, INC. | Carrboro, NC | $678K |
| Piedmont Health Services, INC. | Snow Camp, NC | $544K |
| Piedmont Health Services, INC | Moncure, NC | $470K |
| Piedmont Health Services, INC. | Siler City, NC | $228K |
| Piedmont Health Services, INC. | Prospect Hill, NC | $127K |
| Piedmont Health Services, INC | Carrboro, NC | $11K |
| Piedmont Health Services, INC | Carrboro, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.