Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › High Point › NPI 1952404188
Physician

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.

33Billing provider infoBETHANY MEDICAL CENTER
HIGH POINT, NC 27262
33aNPI1952404188assigned 09/06/2006
28Total paid$18.31M
24GClaims797,617
24DCodes billed126
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in North Carolina

Rank by total paid#1 of 109
Median peer was paid$58K
This provider vs. median313×

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 PETERS, LENIN controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201844,279$1.17M
201945,571$1.49M
202064,137$2.26M
2021134,233$4.52M
2022127,742$3.51M
2023153,647$2.60M
2024incomplete228,008$2.77M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialPETERS, LENIN (CEO/PRESIDENT)
Same official

Other billing entities under PETERS, LENIN

Full network →
ProviderLocationPaid
Bethany Medical CenterGreensboro, NC$7.28M
Bethany Medical CenterGreensboro, NC$5.72M
Bethany Medical CenterWinston Salem, NC$5.13M
Bethany Medical CenterWinston Salem, NC$4.74M
Bethany Medical CenterHigh Point, NC$3.77M
Bethany Medical CenterKernersville, NC$2.29M
Bethany Medical CenterGreensboro, NC$1.70M
Bethany Medical CenterKernersville, NC$1.62M
Bethany Medical CenterMount Airy, NC$1.50M
Bethany Medical Center, PAHigh Point, NC$1.47M
Bethany Medical Center PAHigh Point, NC$1.25M
Bethany Medical Center PAHigh Point, NC$1.13M
Bethany Medical Center, PAHigh Point, NC$645K
Bethany Medical CenterHigh Point, NC$524K
LJP Anesthesia Services, PLLCHigh Point, NC$198K
Bethany Medical CenterHigh Point, NC$88K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.