Clinic
Goshen Medical Center, Incorporated
Goshen Medical Center, Incorporated was paid $2.12M by Medicaid between Mar 2018 and Mar 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoGOSHEN MEDICAL CENTER, INCORPORATED
WHITEVILLE, NC 28472
WHITEVILLE, NC 28472
33aNPI1861900854assigned 01/12/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.12M
24GClaims115,011
24DCodes billed37
24AFirst – last monthMar 2018 – Mar 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#44 of 324
Median peer was paid$279K
This provider vs. median7.6×
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 BOUNDS, GREGORY controls 20+ 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 | 8,735 | $297K | |
| 2019 | 10,458 | $398K | |
| 2020 | 7,445 | $330K | |
| 2021 | 13,842 | $408K | |
| 2022 | 36,311 | $396K | |
| 2023 | 33,120 | $269K | |
| 2024incomplete | 5,100 | $23K |
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 | 73% | 17,966 | 12,556 | $1.54M |
| 99199 | Unlisted special service, procedure or report | 17% | 72,763 | 37,557 | $362K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 1,783 | 1,574 | $51K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 579 | 513 | $40K |
| 92552 | 1.2% | 1,844 | 1,716 | $26K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 7,667 | 5,797 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 328 | 295 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 299 | 261 | $21K |
| 92587 | <1% | 610 | 554 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,769 | 3,703 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 575 | 505 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | 37 | $3K |
25 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,922 | $686.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 42 | $452.43 |
| 90473 | <1% | 71 | $452.43 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $276.40 |
| 86580 | <1% | 192 | $245.96 | |
| 92551 | <1% | 42 | $231.56 | |
| D1206 | Topical application of fluoride varnish | <1% | 14 | $122.00 |
| 99173 | <1% | 565 | $19.00 | |
| 90651 | 0% | 202 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 131 | $0.00 |
| 99406 | 0% | 1,255 | $0.00 | |
| 90686 | 0% | 354 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 32 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 234 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 157 | $0.00 |
| 90713 | 0% | 43 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 61 | $0.00 |
| 90685 | 0% | 49 | $0.00 | |
| 90700 | 0% | 59 | $0.00 | |
| 90461 | 0% | 122 | $0.00 | |
| 90710 | 0% | 53 | $0.00 | |
| 90672 | 0% | 106 | $0.00 | |
| 90670 | 0% | 27 | $0.00 | |
| 90648 | 0% | 28 | $0.00 | |
| 96160 | 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.
From NPPES
Who's on the registration
Authorized officialBOUNDS, GREGORY (CEO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.