Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GASTON FAMILY HEALTH SERVICES, INC.

NPI: 1861128688 · HICKORY, NC 28602 · Federally Qualified Health Center (FQHC) · NPI assigned 07/25/2022

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, SHARMILA controls 20+ related entities in our dataset. Read more

$610K
Total Medicaid Paid
22,023
Total Claims
13,887
Beneficiaries
12
Codes Billed
2022-11
First Month
2024-09
Last Month

Provider Details

Authorized OfficialANDERSON, SHARMILA (BILLING & CODING SUPERVISOR)
Parent OrganizationGASTON FAMILY HEALTH SERVICES, INC.
NPI Enumeration Date07/25/2022

Related Entities

Other providers sharing the same authorized official: ANDERSON, SHARMILA

ProviderCityStateTotal Paid
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $9.40M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $5.74M
GASTON FAMILY HEALTH SERVICES, INC. STATESVILLE NC $4.75M
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $3.43M
GASTON FAMILY HEALTH SERVICES, INC. CLAREMONT NC $2.71M
GASTON FAMILY HEALTH SERVICES INC STATESVILLE NC $2.44M
GASTON FAMILY HEALTH SERVICES, INC. LEXINGTON NC $2.38M
GASTON FAMILY HEALTH SERVICES, INC. BESSEMER CITY NC $2.34M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $2.22M
GASTON FAMILY HEALTH SERVICES, INC HICKORY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. SHELBY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. MAIDEN NC $2.01M
GASTON FAMILY HEALTH SERVICES, INC. KINGS MOUNTAIN NC $1.65M
GASTON FAMILY HEALTH SERVICES, INC. MOCKSVILLE NC $1.40M
GASTON FAMILY HEALTH SERVICES INC LINCOLNTON NC $1.37M
GASTON FAMILY HEALTH SERVICES, INC. TAYLORSVILLE NC $1.01M
GASTON FAMILY HEALTH SERVICES, INC. WINSTON SALEM NC $848K
GASTON FAMILY HEALTH SERVICES, INC GASTONIA NC $809K
GASTON FAMILY HEALTH SERVICES, INC. NEWTON NC $723K
GASTON FAMILY HEALTH SERVICES, INC. LAWNDALE NC $702K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,691 $37K
2023 8,554 $288K
2024 11,778 $285K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 4,431 3,029 $459K
99199 Unlisted special service, procedure or report 10,211 5,447 $64K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,296 1,594 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,279 922 $27K
87428 446 345 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 588 453 $6K
36415 Collection of venous blood by venipuncture 1,038 777 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 38 37 $417.35
92551 22 20 $97.88
99173 21 19 $57.89
96127 27 27 $12.75
99000 1,626 1,217 $0.00