Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINA HEALTHCARE ASSOCIATES INC

NPI: 1033597224 · WILMINGTON, NC 28401 · Neurology with Special Qualifications in Child Neurology Physician · NPI assigned 05/08/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GOODWIN, DANIEL controls 20+ related entities in our dataset. Read more

$240K
Total Medicaid Paid
6,180
Total Claims
4,380
Beneficiaries
15
Codes Billed
2018-01
First Month
2021-05
Last Month

Provider Details

Authorized OfficialGOODWIN, DANIEL (VICE-PRESIDENT)
Parent OrganizationCAROLINA HEALTHCARE ASSOCIATES INC
NPI Enumeration Date05/08/2015

Related Entities

Other providers sharing the same authorized official: GOODWIN, DANIEL

ProviderCityStateTotal Paid
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $2.62M
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $659K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $482K
CAROLINA HEALTHCARE ASSOCIATES INC WALLACE NC $350K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $151K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $150K
CAROLINA HEALTHCARE ASSOCIATES INC ROCKY POINT NC $141K
CAROLINA HEALTHCARE ASSOCIATES INC LELAND NC $110K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $94K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $28K
CAROLINA HEALTHCARE ASSOCIATES INC JACKSONVILLE NC $23K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $23K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $22K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $20K
CAROLINA HEALTHCARE ASSOCIATES INC BOLIVIA NC $18K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $14K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $8K
CAROLINA HEALTHCARE ASSOCIATES INC WHITEVILLE NC $5K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $1K
CAROLINA HEALTHCARE ASSOCIATES INC WILMINGTON NC $85.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 972 $40K
2019 1,684 $84K
2020 2,283 $84K
2021 1,241 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,967 2,314 $119K
99233 Prolong inpt eval add15 m 1,159 585 $37K
99215 Prolong outpt/office vis 543 465 $37K
99232 Subsequent hospital care, per day, moderate complexity 852 516 $21K
99244 Office or other outpatient consultation, moderate to high complexity 273 187 $15K
99205 Prolong outpt/office vis 37 29 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 26 14 $3K
99254 14 13 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $982.12
95816 16 12 $829.70
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34 25 $829.37
99442 21 12 $164.64
36415 Collection of venous blood by venipuncture 12 12 $32.40
3078F 87 78 $0.00
3074F 125 104 $0.00