Clinic
Champion Health System, PA
Champion Health System, PA was paid $596K by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoCHAMPION HEALTH SYSTEM, PA
DUNN, NC 28334
DUNN, NC 28334
33aNPI1831575190assigned 08/09/2015
33bProvider typeRehabilitation Clinic/Center
28Total paid$596K
24GClaims24,533
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rehabilitation Clinic/Center providers in North Carolina
Rank by total paid#3 of 8
Median peer was paid$54K
This provider vs. median11×
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 | 1,710 | $14K | |
| 2019 | 2,156 | $35K | |
| 2020 | 3,904 | $105K | |
| 2021 | 2,590 | $92K | |
| 2022 | 2,929 | $71K | |
| 2023 | 2,801 | $49K | |
| 2024incomplete | 8,443 | $230K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 7,448 | 4,797 | $213K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 23% | 2,441 | 1,602 | $139K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 12% | 1,249 | 846 | $69K |
| 36475 | 8.5% | 125 | 65 | $50K | |
| 93970 | 6.4% | 599 | 430 | $38K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 1,046 | 711 | $17K |
| 93971 | 2.5% | 492 | 256 | $15K | |
| 93925 | 2.0% | 164 | 120 | $12K | |
| 93000 | 1.2% | 1,370 | 972 | $7K | |
| 93923 | 1.2% | 207 | 139 | $7K | |
| 93015 | <1% | 186 | 135 | $5K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 84 | 52 | $5K |
37 more codes
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 83 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 59 | $4K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,867 | $4K |
| 95923 | <1% | 50 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | $911.78 |
| 93241 | <1% | 24 | $822.03 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 19 | $624.28 |
| 93922 | <1% | 74 | $623.98 | |
| J2785 | Injection, regadenoson, 0.1 mg | <1% | 57 | $506.55 |
| 95943 | <1% | 47 | $452.58 | |
| 99406 | <1% | 83 | $408.37 | |
| 99152 | <1% | 18 | $297.23 | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 16 | $166.69 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $32.52 |
| 76937 | <1% | 18 | $21.99 | |
| 93018 | <1% | 22 | $14.58 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 29 | $4.78 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 214 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 967 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 222 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 564 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 86 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 228 | $0.00 |
| 1123F | 0% | 588 | $0.00 | |
| 1036F | 0% | 149 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 29 | $0.00 |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 14 | $0.00 |
| 2001F | 0% | 55 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 544 | $0.00 |
| 4040F | 0% | 138 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,479 | $0.00 |
| 1124F | 0% | 386 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 364 | $0.00 |
| 4551F | 0% | 54 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 300 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 112 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 92 | $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 officialRAMARAJ, RADHAKRISHNAN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Champion Heart and Vascular Center, Oxford PLLC | Oxford, NC | $43K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.