Providers
ERICH WAVERLY SMITH, PA-C
NPI 1689996613, individual, La Grange, NC, Physician Assistant, Medical
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 7 months, but with up to 721 patients a month across 3 billing organizations, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99308 ($64 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7590, $2.7M 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 |
|---|---|---|---|---|---|---|---|---|---|
| Jan 2018 | More hours than a day holds at a conservative unit price | 11.3 | 45.7 | 30.5 | 41.1 | 619 | 2 | 99214 99308 99309 99310 | $47K |
| Feb 2018 | More hours than a day holds at a conservative unit price | 10.4 | 36.6 | 24.4 | 34.1 | 602 | 2 | 99214 99308 99309 | $34K |
| Mar 2018 | More hours than a day holds at a conservative unit price | 11.9 | 37.5 | 25.0 | 35.3 | 691 | 3 | 99214 99308 99309 99310 | $37K |
| Aug 2018 | More hours than a day holds at a conservative unit price | 12.8 | 36.7 | 24.5 | 33.0 | 704 | 2 | 99214 99308 99309 99310 | $34K |
| Jan 2019 | More hours than a day holds at a conservative unit price | 11.9 | 40.7 | 27.1 | 36.5 | 625 | 1 | 99308 99309 99310 | $53K |
| Jan 2022 | More hours than a day holds at a conservative unit price | 9.4 | 39.6 | 26.4 | 39.0 | 571 | 1 | 99214 99308 99309 | $54K |
| Jan 2023 | More hours than a day holds at a conservative unit price | 10.1 | 44.3 | 29.6 | 41.6 | 491 | 1 | 99308 99309 | $58K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ERICH WAVERLY SMITH, PA-C |
| Type | Individual |
| Status | Active |
| NPI issued | February 17, 2010, last updated February 17, 2010 |
| Practice location | 2154 SUTTON HOOTEN LN, La Grange, NC 28551-8252, 252-566-3298 |
| Specialties | Physician Assistant, Medical (363AM0700X, primary, license 102048 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 | |
|---|---|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | $1.7M | 61% | $64 | $14 (top 5% from $58) | 96th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $943K | 34% | $55 | $21 (top 5% from $84) | 88th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $48K | 2% | $61 | $60 (top 5% from $133) | 51st percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $48K | 2% | $65 | $30 (top 5% from $134) | 81st percentile | |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | $4K | 0% | $160 | $113 (top 5% from $189) | too few months to rank | |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $4K | 0% | $93 | $22 (top 5% from $71) | too few months to rank | |
| 82306 | Vitamin d-3 level | $2K | 0% | $35 | $20 (top 5% from $40) | too few months to rank | |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $2K | 0% | $9.39 | $5.69 (top 5% from $25) | 81st 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 |
|---|---|---|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 4,901 | 335 | $220K | $125 | $63 | 2.0x | 2.0x (90th percentile 3.4x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,056 | 345 | $71K | $150 | $91 | 1.7x | 2.0x (90th percentile 3.3x) |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 42 | 29 | $4K | $150 | $130 | 1.2x | 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 Lenoir County, NC carry an indicator in the public record, with $1.1M at stake between them. The most common is named in an enforcement record, on 1 of them, followed by more hours than a day holds on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | LIFE TOUCH LLC Kinston, NC, ranked 68 | $868K |
|
| 5 | JOHN MOORE LA Grange, NC, ranked 11446 | $221K |
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.