Clinic
Gaston Family Health Services, INC.
Gaston Family Health Services, INC. was paid $2.06M by Medicaid between Jul 2021 and Dec 2024, across 36 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoGASTON FAMILY HEALTH SERVICES, INC.
SHELBY, NC 28150
SHELBY, NC 28150
33aNPI1962086793assigned 05/07/2021
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.06M
24GClaims58,545
24DCodes billed36
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#46 of 324
Median peer was paid$279K
This provider vs. median7.4×
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 ANDERSON, SHARMILA 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 | |
|---|---|---|---|
| 2021 | 8,880 | $200K | |
| 2022 | 11,210 | $490K | |
| 2023 | 15,107 | $560K | |
| 2024incomplete | 23,348 | $808K |
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 | 83% | 16,633 | 8,834 | $1.70M |
| 99199 | Unlisted special service, procedure or report | 7.1% | 24,909 | 14,347 | $147K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 450 | 338 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 362 | 317 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 354 | 307 | $34K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 2,502 | 1,703 | $22K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,580 | 1,037 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 95 | 87 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 402 | 196 | $8K |
| 99382 | <1% | 206 | 72 | $6K | |
| 99383 | <1% | 149 | 42 | $5K | |
| 92551 | <1% | 2,029 | 1,493 | $5K |
24 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 1,804 | $4K |
| 85018 | <1% | 1,684 | $3K | |
| 99173 | <1% | 2,024 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 44 | $2K |
| 99381 | <1% | 28 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 82 | $1K |
| 90619 | <1% | 55 | $1K | |
| 81002 | <1% | 523 | $887.01 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 84 | $750.72 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 42 | $739.04 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $345.81 |
| 96127 | <1% | 32 | $140.67 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 21 | $89.50 |
| 90698 | <1% | 54 | $89.00 | |
| 90656 | <1% | 30 | $61.59 | |
| 36416 | <1% | 12 | $9.48 | |
| 3078F | 0% | 926 | $0.00 | |
| 90670 | 0% | 113 | $0.00 | |
| 90633 | 0% | 30 | $0.00 | |
| 90686 | 0% | 77 | $0.00 | |
| 3008F | 0% | 148 | $0.00 | |
| 3074F | 0% | 962 | $0.00 | |
| 90651 | 0% | 30 | $0.00 | |
| 90677 | 0% | 41 | $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 officialANDERSON, SHARMILA (MEDICAL BILLING & CODING SUPERVISOR)
Parent organizationGASTON FAMILY HEALTH SERVICES, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.