Providers

GERRI LYNN MATTSON, MD

NPI 1356482640, individual, Raleigh, NC, Pediatrics

5
Evidence tier
informational
score 32 of 100, rank 10661, $10.2M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameGERRI LYNN MATTSON, MD (also GERRI FINKELSTEIN)
TypeIndividual
StatusActive
NPI issuedFebruary 9, 2007, last updated November 4, 2009
Practice location10 SUNNYBROOK RD, Raleigh, NC 27610-1808, 919-250-4570
Mailing address402 STONEHILL RD, Chapel Hill, NC 27516-8638
Specialties
Pediatrics (208000000X, primary, license 9900930 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
codewhat it ispaidshareper patient-monthtypicalrank among providers
T1017Targeted case management each 15 min$9.3M90%$100$167 (top 5% from $808)38th percentile
96113Administration of developmental test, each additional 30 minutes$496K5%$135$104 (top 5% from $540)64th percentile
96112Administration of developmental test, first hour$479K5%$126$114 (top 5% from $506)60th percentile
T1023Medicaid service code$33K0%$75$103 (top 5% from $499)39th percentile
H0036Community psychiatric supportive treatment face-to-face per 15 minhistory of abuse$30K0%$161$195 (top 5% from $1K)45th percentile
90847Family psychotherapy with patient, 50 minutes$2K0%$158$130 (top 5% from $458)too few months to rank
97803Therapy procedure reassessment for nutrition management, each 15 minutes$1K0%$50$22 (top 5% from $130)too few months to rank
97802Therapy procedure for nutrition management, each 15 minutes$1K0%$98$3.93 (top 5% from $105)too few months to rank

In this area

12 providers in Wake County, NC carry an indicator in the public record, with $15.8M at stake between them. The most common is more hours than a day holds, on 5 of them, followed by named in an enforcement record on 4. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1COTTAGE HEALTH CARE SERVICES, INC
Raleigh, NC, ranked 154
$87K
  • Listed on the Medicare revocation list since December 5, 2023.
  • Medicaid still paid claims in 7 later months, $86,552 in total.
3IFEOMA EZUGWU
Raleigh, NC, ranked 2376
$0
  • Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
3DAWN MEACHAM
Raleigh, NC, ranked 2422
$0
  • Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
3HILLCREST RALEIGH AT CRABTREE, LLC
Raleigh, NC, ranked 2704
$0
  • Part of provider network D1-00075, ranked 75 nationally.
3OUR TREATMENT CENTER
Raleigh, NC, ranked 5266
$0
  • Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
3QUEENSLY ONUZULIKE
Raleigh, NC, ranked 6401
$0
  • Charged (charged) per a Department of Justice release dated June 30, 2025, not adjudicated.
4JEFFREY CHILDERS
Raleigh, NC, ranked 7480
$4.4M
  • Hours beyond a day in 24 months, but with up to 564 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
  • and 1 more
4DONNA ANDERSON
Cary, NC, ranked 9153
$589K
  • Hours beyond a day in 3 months, but with up to 1230 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
All 12 in NC

Recent enforcement in NC

All releases

Department 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.

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