Carolinas Medical Center

Carolinas Medical Center was paid $20.55M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is J2426, Injection, paliperidone palmitate extended release (invega sustenna), 1 mg — 51% of everything it billed.

33Billing provider infoCAROLINAS MEDICAL CENTER
CHARLOTTE, NC 28211

33aNPI1053358945assigned 06/01/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$20.55M

24GClaims259,162

24DCodes billed57

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in North Carolina

Rank by total paid#28 of 92

Median peer was paid$11.47M

This provider vs. median1.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	41,990	$2.22M
2019	39,421	$2.80M
2020	37,632	$3.01M
2021	40,059	$3.80M
2022	46,121	$4.16M
2023	33,706	$2.81M
2024incomplete	20,233	$1.75M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J2426	Injection, paliperidone palmitate extended release (invega sustenna), 1 mg	51%	13,096	11,223	$10.39M
J0401	Injection, aripiprazole (abilify maintena), 1 mg	8.6%	2,002	1,695	$1.76M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8.0%	79,547	68,285	$1.64M
G0378	Hospital observation service, per hour	7.4%	6,376	2,619	$1.52M
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	5.5%	3,111	2,727	$1.12M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.9%	2,823	2,367	$1.01M
Q3014	Telehealth originating site facility fee	2.9%	26,138	23,928	$603K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	2.4%	1,379	1,182	$503K
J2794	Injection, risperidone (risperdal consta), 0.5 mg	2.1%	1,395	761	$440K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	1.4%	13,788	9,668	$292K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.1%	32,390	26,560	$220K
J3490	Unclassified drugs	<1%	27,896	2,429	$152K

45 more codes

J1631	Injection, haloperidol decanoate, per 50 mg	<1%	6,630	$149K
80305		<1%	5,208	$133K
90791	Psychiatric diagnostic evaluation	<1%	2,794	$91K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	<1%	1,472	$87K
90833	Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on)	<1%	2,480	$84K
90792	Psychiatric diagnostic evaluation with medical services	<1%	1,505	$64K
J8499	Prescription drug, oral, non chemotherapeutic, nos	<1%	12,873	$53K
90832	Psychotherapy session, about 30 minutes	<1%	2,184	$35K
80053	Comprehensive metabolic panel	<1%	1,391	$27K
90834	Psychotherapy session, about 45 minutes	<1%	1,100	$22K
80061	Lipid panel	<1%	1,219	$17K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	202	$16K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	1,067	$13K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	614	$13K
84443	Thyroid stimulating hormone (TSH)	<1%	676	$13K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	184	$10K
83036	Hemoglobin; glycosylated (A1C)	<1%	1,344	$10K
84439		<1%	645	$10K
81025		<1%	657	$9K
82607		<1%	531	$6K
0241U	Neonatal screening for hereditary disorders, genomic sequence analysis panel	<1%	48	$5K
90670		<1%	30	$4K
82746		<1%	328	$3K
82962		<1%	1,567	$3K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	<1%	71	$3K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	118	$2K
82075		<1%	277	$2K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	48	$1K
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	28	$1K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	51	$1K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	<1%	17	$1K
J2680	Injection, fluphenazine decanoate, up to 25 mg	<1%	137	$967.11
84146		<1%	52	$790.95
90836		<1%	20	$713.10
99199	Unlisted special service, procedure or report	<1%	120	$625.00
90686		<1%	143	$511.16
85027		<1%	114	$477.74
82728		<1%	41	$351.25
90847	Family psychotherapy with the patient present, 50 minutes	<1%	32	$251.70
81002		<1%	29	$147.74
86803		<1%	13	$112.08
83735		<1%	15	$78.93
36415	Collection of venous blood by venipuncture	<1%	31	$35.42
H0040	Assertive community treatment program, per diem	0%	1,103	$0.00
90674		0%	12	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHAYNES, KENNETH (PRESIDENT)

Parent organizationCAROLINAS MEDICAL CENTER

Same official

Other billing entities under HAYNES, KENNETH

Full network →

Provider	Location	Paid
Carolinas Medical Center	Charlotte, NC	$12K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.