Bethany Medical Center
Bethany Medical Center was paid $18.31M by Medicaid between Jan 2018 and Dec 2024, across 126 billing codes. Its largest line is 80307, Drug test(s), presumptive, any number of drug classes; immunoassay — 26% of everything it billed.
HIGH POINT, NC 27262
Next to other Cardiovascular Disease Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 44,279 | $1.17M | |
| 2019 | 45,571 | $1.49M | |
| 2020 | 64,137 | $2.26M | |
| 2021 | 134,233 | $4.52M | |
| 2022 | 127,742 | $3.51M | |
| 2023 | 153,647 | $2.60M | |
| 2024incomplete | 228,008 | $2.77M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 26% | 72,227 | 57,522 | $4.68M |
| 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 | 23% | 87,016 | 67,991 | $4.16M |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 11% | 19,559 | 15,846 | $2.00M |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 6.7% | 18,792 | 15,370 | $1.22M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 30,388 | 23,961 | $1.07M |
| 99199 | Unlisted special service, procedure or report | 4.6% | 172,932 | 128,901 | $840K |
| 83970 | 3.3% | 14,154 | 11,682 | $599K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 2.5% | 15,344 | 12,704 | $466K |
| 86769 | 1.9% | 9,946 | 8,010 | $351K | |
| 80061 | Lipid panel | 1.4% | 18,968 | 15,876 | $254K |
| 80053 | Comprehensive metabolic panel | 1.0% | 21,507 | 18,668 | $191K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 21,424 | 18,540 | $172K |
114 more codes
| 99406 | <1% | 24,442 | $165K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 2,458 | $158K |
| 84480 | <1% | 9,476 | $138K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13,985 | $132K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13,449 | $127K |
| 94375 | <1% | 9,393 | $116K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 6,963 | $115K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,204 | $106K |
| 84439 | <1% | 9,895 | $91K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,467 | $89K |
| 94060 | <1% | 3,210 | $74K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,470 | $70K |
| 82607 | <1% | 4,269 | $66K | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 2,407 | $52K |
| 86703 | <1% | 4,036 | $49K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 4,038 | $47K |
| 94729 | <1% | 3,207 | $47K | |
| 94726 | <1% | 3,206 | $47K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 917 | $44K |
| 36415 | Collection of venous blood by venipuncture | <1% | 28,972 | $40K |
| 82746 | <1% | 2,355 | $36K | |
| 82728 | <1% | 2,541 | $35K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 587 | $35K |
| 99442 | <1% | 1,019 | $34K | |
| 83735 | <1% | 4,531 | $31K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 227 | $30K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 361 | $27K |
| 93000 | <1% | 2,723 | $26K | |
| 81025 | <1% | 4,176 | $25K | |
| 83550 | <1% | 2,708 | $25K | |
| 99443 | <1% | 360 | $21K | |
| 80050 | General health panel | <1% | 1,951 | $19K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 73 | $14K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 220 | $14K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 329 | $14K |
| 83540 | <1% | 2,038 | $14K | |
| 82962 | <1% | 11,529 | $13K | |
| 86431 | <1% | 1,968 | $12K | |
| 86803 | <1% | 746 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,620 | $10K |
| 84550 | <1% | 1,979 | $9K | |
| 87340 | <1% | 677 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 147 | $6K |
| 90756 | <1% | 715 | $6K | |
| 90688 | <1% | 1,085 | $6K | |
| 99401 | <1% | 284 | $6K | |
| 99205 | Prolong outpt/office vis | <1% | 47 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 61 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 129 | $5K |
| 81002 | <1% | 3,100 | $5K | |
| 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% | 1,210 | $3K |
| 94618 | <1% | 287 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 3,533 | $2K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 41 | $2K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 833 | $2K |
| 84403 | <1% | 63 | $2K | |
| 84402 | <1% | 63 | $2K | |
| 99490 | Ccm add 20min | <1% | 166 | $2K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 698 | $2K |
| 72100 | <1% | 90 | $1K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 38 | $1K |
| 99407 | <1% | 93 | $1K | |
| 83001 | <1% | 51 | $1K | |
| 83002 | <1% | 51 | $1K | |
| 95117 | <1% | 161 | $913.32 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 3,069 | $890.73 |
| 90661 | <1% | 74 | $783.60 | |
| 86328 | <1% | 18 | $768.91 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29 | $739.56 |
| 84270 | <1% | 26 | $686.08 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 45 | $511.19 |
| 87077 | <1% | 103 | $463.14 | |
| 93922 | <1% | 13 | $406.85 | |
| 20610 | <1% | 13 | $388.93 | |
| 46221 | <1% | 19 | $383.40 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 62 | $367.38 |
| 96146 | <1% | 334 | $283.44 | |
| 80348 | <1% | 223 | $245.40 | |
| 91200 | <1% | 19 | $200.79 | |
| 3044F | <1% | 5,536 | $180.00 | |
| 82044 | <1% | 75 | $121.10 | |
| 96103 | <1% | 120 | $73.31 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 520 | $72.61 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 123 | $9.77 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 473 | $0.99 |
| 1111F | <1% | 17 | $0.01 | |
| 4004F | 0% | 6,467 | $0.00 | |
| 3078F | 0% | 11,997 | $0.00 | |
| 3077F | 0% | 1,743 | $0.00 | |
| 3051F | 0% | 218 | $0.00 | |
| 3046F | 0% | 172 | $0.00 | |
| 3050F | 0% | 1,147 | $0.00 | |
| 1159F | 0% | 225 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 228 | $0.00 |
| 99072 | 0% | 29 | $0.00 | |
| 3288F | 0% | 63 | $0.00 | |
| 3048F | 0% | 3,898 | $0.00 | |
| 3049F | 0% | 2,184 | $0.00 | |
| 3074F | 0% | 12,922 | $0.00 | |
| 3008F | 0% | 23,903 | $0.00 | |
| 3075F | 0% | 2,148 | $0.00 | |
| 1170F | 0% | 214 | $0.00 | |
| 3080F | 0% | 381 | $0.00 | |
| 1125F | 0% | 996 | $0.00 | |
| 3079F | 0% | 5,201 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 574 | $0.00 |
| 4010F | 0% | 1,230 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 785 | $0.00 |
| G0432 | Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening | 0% | 40 | $0.00 |
| G0296 | Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | 0% | 337 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 38 | $0.00 |
| 3052F | 0% | 120 | $0.00 | |
| 3060F | 0% | 41 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 20 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Bethany Medical Center | Greensboro, NC | $7.28M |
| Bethany Medical Center | Greensboro, NC | $5.72M |
| Bethany Medical Center | Winston Salem, NC | $5.13M |
| Bethany Medical Center | Winston Salem, NC | $4.74M |
| Bethany Medical Center | High Point, NC | $3.77M |
| Bethany Medical Center | Kernersville, NC | $2.29M |
| Bethany Medical Center | Greensboro, NC | $1.70M |
| Bethany Medical Center | Kernersville, NC | $1.62M |
| Bethany Medical Center | Mount Airy, NC | $1.50M |
| Bethany Medical Center, PA | High Point, NC | $1.47M |
| Bethany Medical Center PA | High Point, NC | $1.25M |
| Bethany Medical Center PA | High Point, NC | $1.13M |
| Bethany Medical Center, PA | High Point, NC | $645K |
| Bethany Medical Center | High Point, NC | $524K |
| LJP Anesthesia Services, PLLC | High Point, NC | $198K |
| Bethany Medical Center | High Point, NC | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.