Clinic
New Hanover Community Health Center Incorporated
New Hanover Community Health Center Incorporated was paid $8.51M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 75% of everything it billed.
33Billing provider infoNEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1912954090assigned 05/27/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.51M
24GClaims300,356
24DCodes billed89
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#7 of 324
Median peer was paid$279K
This provider vs. median30×
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 | 11,319 | $633K | |
| 2019 | 12,893 | $786K | |
| 2020 | 9,605 | $680K | |
| 2021 | 46,761 | $1.26M | |
| 2022 | 64,827 | $1.35M | |
| 2023 | 67,024 | $1.45M | |
| 2024incomplete | 87,927 | $2.35M |
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 | 75% | 56,748 | 42,568 | $6.35M |
| 99199 | Unlisted special service, procedure or report | 12% | 202,994 | 99,324 | $1.04M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 7.1% | 2,687 | 2,231 | $601K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 1,685 | 1,263 | $105K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,335 | 1,750 | $67K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,065 | 784 | $64K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 890 | 640 | $56K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,808 | 3,687 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,496 | 1,013 | $25K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,583 | 2,565 | $22K |
| 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% | 998 | 890 | $19K |
| D1110 | Prophylaxis - adult | <1% | 682 | 505 | $18K |
77 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 268 | $14K |
| D1120 | Dental cleaning, child | <1% | 667 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 289 | $8K |
| D1206 | Topical application of fluoride varnish | <1% | 664 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 250 | $6K |
| 98968 | <1% | 176 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 181 | $4K |
| 92552 | <1% | 849 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 291 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 415 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 48 | $3K |
| 0012A | <1% | 90 | $2K | |
| 0071A | <1% | 67 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 69 | $2K |
| 96127 | <1% | 2,828 | $2K | |
| 0011A | <1% | 125 | $2K | |
| 0072A | <1% | 48 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 35 | $2K |
| 80305 | <1% | 153 | $1K | |
| 96161 | <1% | 800 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 711 | $1K |
| D1351 | Sealant - per tooth | <1% | 111 | $1K |
| 0001A | <1% | 48 | $1K | |
| 99173 | <1% | 2,234 | $960.76 | |
| D4355 | <1% | 15 | $875.72 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 127 | $840.47 |
| 90661 | <1% | 189 | $783.60 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 17 | $743.82 |
| 0064A | <1% | 15 | $700.00 | |
| 99401 | <1% | 57 | $585.12 | |
| 96160 | <1% | 447 | $530.63 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 90 | $398.79 |
| 90474 | <1% | 47 | $370.17 | |
| 0031A | <1% | 15 | $360.00 | |
| 98960 | <1% | 54 | $228.68 | |
| D0272 | Bitewings - two radiographic images | <1% | 30 | $212.85 |
| 0002A | <1% | 13 | $195.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $174.84 |
| 90461 | <1% | 135 | $146.30 | |
| 90674 | <1% | 185 | $143.73 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $136.37 |
| 81025 | <1% | 24 | $88.44 | |
| 85018 | <1% | 36 | $52.90 | |
| 81002 | <1% | 16 | $37.58 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 15 | $35.78 |
| 92551 | <1% | 95 | $33.08 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 116 | $32.11 |
| 90656 | <1% | 559 | $13.75 | |
| 91301 | <1% | 232 | $0.01 | |
| D0603 | 0% | 167 | $0.00 | |
| D1330 | 0% | 424 | $0.00 | |
| 3074F | 0% | 1,711 | $0.00 | |
| 90723 | 0% | 60 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 482 | $0.00 |
| 3079F | 0% | 199 | $0.00 | |
| 90686 | 0% | 66 | $0.00 | |
| 91307 | 0% | 150 | $0.00 | |
| 90647 | 0% | 189 | $0.00 | |
| D0602 | 0% | 14 | $0.00 | |
| 90680 | 0% | 44 | $0.00 | |
| 91303 | 0% | 13 | $0.00 | |
| 90677 | 0% | 44 | $0.00 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | 0% | 12 | $0.00 |
| 90698 | 0% | 12 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| 90670 | 0% | 680 | $0.00 | |
| 3078F | 0% | 1,341 | $0.00 | |
| 90700 | 0% | 300 | $0.00 | |
| 90713 | 0% | 83 | $0.00 | |
| 90649 | 0% | 17 | $0.00 | |
| 90655 | 0% | 87 | $0.00 | |
| 91300 | 0% | 125 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 19 | $0.00 |
| 90756 | 0% | 107 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 90685 | 0% | 24 | $0.00 | |
| 90707 | 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 officialJOHNSON, ALTHEA (CEO)
| Provider | Location | Paid |
|---|---|---|
| New Hanover Community Health Center Incorporated | Wilmington, NC | $151K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.