Providers
DOROTHY EJINKONYE AGBAFE-MOSLEY, MD
NPI 1881898187, individual, Wilmington, NC, Family Medicine
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 12 months, but with up to 674 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- Medicaid dollars per patient on code 99215 ($422 per patient-month) sit in the top 5% of every provider billing that code.
score 55 of 100, rank 7794, $1.2M 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, even counting one unit per claim line | 33.4 | 27.6 | 18.4 | 24.8 | 529 | 1 | 99212 99214 99215 99354 99408 | $85K |
| Feb 2018 | More hours than a day holds, even counting one unit per claim line | 29.8 | 27.4 | 18.3 | 25.6 | 446 | 1 | 99204 99214 99215 99354 99408 | $75K |
| Mar 2018 | More hours than a day holds, even counting one unit per claim line | 28.0 | 25.2 | 16.8 | 23.7 | 444 | 1 | 99204 99214 99215 99354 99408 | $76K |
| Apr 2018 | More hours than a day holds, even counting one unit per claim line | 25.8 | 23.8 | 15.9 | 22.7 | 405 | 1 | 99214 99215 99354 99408 | $69K |
| May 2018 | More hours than a day holds, even counting one unit per claim line | 30.7 | 27.8 | 18.6 | 25.0 | 425 | 1 | 99204 99214 99215 99354 99408 | $84K |
| Jun 2018 | More hours than a day holds, even counting one unit per claim line | 29.3 | 26.9 | 17.9 | 25.6 | 450 | 1 | 99204 99214 99215 99354 99408 | $79K |
| Jul 2018 | More hours than a day holds, even counting one unit per claim line | 29.5 | 27.4 | 18.2 | 25.7 | 457 | 1 | 99204 99214 99215 99354 99406 99408 | $83K |
| Aug 2018 | More hours than a day holds, even counting one unit per claim line | 31.8 | 29.5 | 19.6 | 26.5 | 403 | 1 | 99204 99214 99215 99354 | $89K |
| Oct 2018 | More hours than a day holds, even counting one unit per claim line | 26.2 | 27.6 | 18.4 | 24.8 | 440 | 1 | 99204 99214 99215 99354 99406 99408 | $84K |
| Nov 2018 | More hours than a day holds, even counting one unit per claim line | 25.3 | 26.9 | 17.9 | 24.4 | 447 | 1 | 99204 99214 99215 99354 99408 | $79K |
| Jan 2019 | More hours than a day holds, even counting one unit per claim line | 29.2 | 37.1 | 24.7 | 33.3 | 674 | 1 | 99204 99212 99214 99215 99354 99408 | $138K |
| Feb 2019 | More hours than a day holds, even counting one unit per claim line | 27.2 | 32.0 | 21.3 | 29.9 | 425 | 1 | 99204 99214 99215 99354 99408 | $107K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DOROTHY EJINKONYE AGBAFE-MOSLEY, MD |
| Type | Individual |
| Status | Active |
| NPI issued | June 12, 2007, last updated February 26, 2015 |
| Practice location | 1230 MEDICAL CENTER DR, Wilmington, NC 28401-7332, 910-799-5452 |
| Mailing address | PO BOX 16663, Wilmington, NC 28408-6663 |
| Specialties | Family Medicine (207Q00000X, primary, license 2009-01999 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 | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $872K | 26% | $114 | $60 (top 5% from $133) | 91st percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $612K | 18% | $422 | $88 (top 5% from $210) | 98th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $569K | 17% | $86 | $44 (top 5% from $110) | 91st percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $336K | 10% | $110 | $45 (top 5% from $110) | 95th percentile | |
| 99354 | Prolonged service outpatient first hour (retired 2023) | $273K | 8% | $255 | $78 (top 5% from $222) | 97th percentile | |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | $190K | 6% | $110 | $78 (top 5% from $138) | 78th percentile | |
| 99494 | Psychiatric collaborative care management per calendar month, each additional 30 minutes | $167K | 5% | $107 | $36 (top 5% from $134) | 94th percentile | |
| 82542 | Chemical analysis using chromatography technique | $105K | 3% | $91 | $11 (top 5% from $75) | 96th 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 |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 185 | 44 | $11K | $128 | $85 | 1.5x | 2.2x (90th percentile 3.8x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 104 | 35 | $9K | $197 | $120 | 1.6x | 2.3x (90th percentile 3.8x) |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $2K | $183 | $121 | 1.5x | 2.3x (90th percentile 4.1x) |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 26 | 12 | $1K | $88 | $58 | 1.5x | 1.8x (90th percentile 2.9x) |
| 97760 | Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes | 20 | 14 | $640 | $67 | $42 | 1.6x | 2.5x (90th percentile 4.6x) |
| 36415 | Insertion of needle into vein for collection of blood sample | 52 | 27 | $450 | $40 | $9 | 4.6x | 2.0x (90th percentile 3.5x) |
| 96372 | Injection of drug or substance under skin or into muscle | 32 | 13 | $330 | $20 | $13 | 1.5x | 3.6x (90th percentile 6.4x) |
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
3 providers in New Hanover County, NC carry an indicator in the public record, with $4.6M at stake between them. The most common is more hours than a day holds, on 3 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | KANDIE TITO Wilmington, NC, ranked 7541 | $3.2M |
|
| 5 | ROBERT ADAMS Wilmington, NC, ranked 10067 | $1.2M |
|
| 5 | KAREN TALBERT Wilmington, NC, ranked 11521 | $157K |
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.