Providers
CHRISTINA C JONES, FNP-C
NPI 1043966906, individual, Lumberton, NC, Nurse Practitioner, Family
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 2 months, but with up to 399 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 50 of 100, rank 9647, $46K at stake
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 |
|---|---|---|---|---|---|---|---|---|---|
| Oct 2023 | More hours than a day holds, even counting one unit per claim line | 27.5 | 12.1 | 8.0 | 11.3 | 310 | 1 | 99310 99344 99350 | $12K |
| Jan 2024 | More hours than a day holds, even counting one unit per claim line | 30.2 | 28.8 | 19.2 | 25.9 | 399 | 1 | 99310 99350 | $34K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CHRISTINA C JONES, FNP-C |
| Type | Individual |
| Status | Active |
| NPI issued | March 1, 2022, last updated May 5, 2026 |
| Practice location | 75 LEGEND RD, Lumberton, NC 28358-9006, 910-618-5574 |
| Specialties | Nurse Practitioner (363L00000X, license 5015865 NC) Nurse Practitioner, Family (363LF0000X, primary, license 5015865 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | $78K | 36% | $57 | $37 (top 5% from $218) | 67th percentile | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $27K | 13% | $113 | $95 (top 5% from $171) | too few months to rank | |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | $19K | 9% | $10 | $14 (top 5% from $49) | 37th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $14K | 7% | $73 | $60 (top 5% from $133) | 64th percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $13K | 6% | $70 | $67 (top 5% from $121) | 55th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $13K | 6% | $29 | $30 (top 5% from $134) | 48th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $9K | 4% | $46 | $44 (top 5% from $110) | 53rd percentile | |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | $8K | 4% | $35 | $94 (top 5% from $327) | 34th percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 523 | 521 | $40K | $236 | $146 | 1.6x | 1.9x (90th percentile 3.3x) |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 619 | 619 | $26K | $113 | $69 | 1.6x | 1.6x (90th percentile 2.7x) |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 624 | 624 | $10K | $41 | $26 | 1.6x | 1.9x (90th percentile 3.5x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 88 | 88 | $4K | $194 | $121 | 1.6x | 2.0x (90th percentile 3.4x) |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 45 | 45 | $3K | $183 | $112 | 1.6x | 2.1x (90th percentile 3.5x) |
| 11719 | Trimming of fingernails or toenails | 624 | 624 | $3K | $18 | $6 | 3.2x | 3.3x (90th percentile 6.3x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 21 | 20 | $1K | $276 | $72 | 3.8x | 2.2x (90th percentile 3.8x) |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 16 | 16 | $1K | $278 | $134 | 2.1x | 2.4x (90th percentile 3.9x) |
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
5 providers in Robeson County, NC carry an indicator in the public record, with $16.8M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | CAROLINA FAMILY AND URGENT CARE Lumberton, NC, ranked 30 | $6K |
|
| 4 | JANA-RAE LOCKLEAR Pembroke, NC, ranked 7363 | $123K |
|
| 5 | CHARLES GRAHAM Lumberton, NC, ranked 10416 | $15.6M |
|
| 5 | RICARDO POJOL Lumberton, NC, ranked 10998 | $1.1M | |
| 5 | FELICIA BRITT Shannon, NC, ranked 11841 | $27K |
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.
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.