SAMANTHA JOANNE CRISTE, NP
NPI 1003356767, individual, Dover, NC, Nurse Practitioner
- Hours beyond a day in 2 months, but with up to 506 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2023 | More hours than a day holds at a conservative unit price | 9.4 | 40.6 | 27.1 | 38.2 | 447 | 1 | 99308 99309 | $36K |
| Jan 2024 | More hours than a day holds at a conservative unit price | 16.5 | 41.8 | 27.9 | 37.6 | 495 | 1 | 99214 99308 99309 | $46K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SAMANTHA JOANNE CRISTE, NP |
| Type | Individual |
| Status | Active |
| NPI issued | February 28, 2017, last updated April 7, 2022 |
| Practice location | 235 JENKINS RD, Dover, NC 28526-9399, 252-933-6698 |
| Specialties | Nurse Practitioner (363L00000X, primary, license 5009331 NC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $1.1M | 81% | $49 | $21 (top 5% from $84) | 86th percentile | |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $210K | 16% | $31 | $14 (top 5% from $58) | 83rd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $28K | 2% | $65 | $60 (top 5% from $133) | 56th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $20K | 1% | $51 | $30 (top 5% from $134) | 73rd percentile | |
| 3288F | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.00) | 0th percentile | |
| G8418 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.17) | 0th percentile | |
| G8420 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.09) | 0th percentile | |
| G8417 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $0.03) | 0th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 4,346 | 388 | $291K | $150 | $91 | 1.7x | 2.0x (90th percentile 3.3x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 861 | 249 | $38K | $125 | $62 | 2.0x | 2.0x (90th percentile 3.4x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Craven County, NC carry an indicator in the public record, with $1.5M at stake between them. The most common is part of a provider network, on 1 of them, followed by more hours than a day holds on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | CENTURY CARE OF NEW BERN, INC. New Bern, NC, ranked 6322 | $0 |
|
| 4 | HOOVER ROYALS Dover, NC, ranked 8826 | $1.5M |
|
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.