Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GASTON FAMILY HEALTH SERVICES, INC.

NPI: 1962086793 · SHELBY, NC 28150 · Federally Qualified Health Center (FQHC) · NPI assigned 05/07/2021

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, SHARMILA controls 20+ related entities in our dataset. Read more

$2.06M
Total Medicaid Paid
58,545
Total Claims
34,424
Beneficiaries
36
Codes Billed
2021-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, SHARMILA (MEDICAL BILLING & CODING SUPERVISOR)
Parent OrganizationGASTON FAMILY HEALTH SERVICES, INC.
NPI Enumeration Date05/07/2021

Related Entities

Other providers sharing the same authorized official: ANDERSON, SHARMILA

ProviderCityStateTotal Paid
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $9.40M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $5.74M
GASTON FAMILY HEALTH SERVICES, INC. STATESVILLE NC $4.75M
GASTON FAMILY HEALTH SERVICES, INC. GASTONIA NC $3.43M
GASTON FAMILY HEALTH SERVICES, INC. CLAREMONT NC $2.71M
GASTON FAMILY HEALTH SERVICES INC STATESVILLE NC $2.44M
GASTON FAMILY HEALTH SERVICES, INC. LEXINGTON NC $2.38M
GASTON FAMILY HEALTH SERVICES, INC. BESSEMER CITY NC $2.34M
GASTON FAMILY HEALTH SERVICES INC GASTONIA NC $2.22M
GASTON FAMILY HEALTH SERVICES, INC HICKORY NC $2.06M
GASTON FAMILY HEALTH SERVICES, INC. MAIDEN NC $2.01M
GASTON FAMILY HEALTH SERVICES, INC. KINGS MOUNTAIN NC $1.65M
GASTON FAMILY HEALTH SERVICES, INC. MOCKSVILLE NC $1.40M
GASTON FAMILY HEALTH SERVICES INC LINCOLNTON NC $1.37M
GASTON FAMILY HEALTH SERVICES, INC. TAYLORSVILLE NC $1.01M
GASTON FAMILY HEALTH SERVICES, INC. WINSTON SALEM NC $848K
GASTON FAMILY HEALTH SERVICES, INC GASTONIA NC $809K
GASTON FAMILY HEALTH SERVICES, INC. NEWTON NC $723K
GASTON FAMILY HEALTH SERVICES, INC. LAWNDALE NC $702K
GASTON FAMILY HEALTH SERVICES, INC. HICKORY NC $689K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 8,880 $200K
2022 11,210 $490K
2023 15,107 $560K
2024 23,348 $808K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 16,633 8,834 $1.70M
99199 Unlisted special service, procedure or report 24,909 14,347 $147K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 450 338 $41K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 362 317 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 354 307 $34K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,502 1,703 $22K
90472 Immunization administration, each additional vaccine (list separately) 1,580 1,037 $18K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 95 87 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 402 196 $8K
99382 206 72 $6K
99383 149 42 $5K
92551 2,029 1,493 $5K
36415 Collection of venous blood by venipuncture 1,804 1,211 $4K
85018 1,684 1,087 $3K
99173 2,024 1,508 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 44 19 $2K
99381 28 20 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 82 48 $1K
90619 55 32 $1K
81002 523 246 $887.01
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 84 28 $750.72
90832 Psychotherapy, 30 minutes with patient 42 22 $739.04
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 28 20 $345.81
96127 32 30 $140.67
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 21 13 $89.50
90698 54 30 $89.00
90656 30 30 $61.59
36416 12 12 $9.48
3078F 926 483 $0.00
90670 113 51 $0.00
90633 30 12 $0.00
90686 77 57 $0.00
3008F 148 130 $0.00
3074F 962 498 $0.00
90651 30 27 $0.00
90677 41 37 $0.00