Carolina Regional Orthopaedics, PA

Carolina Regional Orthopaedics, PA was paid $135K by Medicaid between Jan 2018 and Jul 2022, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.

33Billing provider infoCAROLINA REGIONAL ORTHOPAEDICS, PA
TARBORO, NC 27886

33aNPI1073553509assigned 06/06/2006

33bProvider typeInterventional Pain Medicine Physician

28Total paid$135K

24GClaims5,136

24DCodes billed11

24AFirst – last monthJan 2018 – Jul 2022

Compared with peers

Next to other Interventional Pain Medicine Physician providers in North Carolina

Rank by total paid#7 of 16

Median peer was paid$23K

This provider vs. median5.9×

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	2,712	$72K
2019	1,488	$44K
2020	518	$8K
2021	287	$8K
2022	131	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	65%	2,860	2,655	$87K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	1,494	1,429	$38K
20610		4.4%	235	221	$6K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.1%	14	14	$1K
80305		<1%	129	121	$510.67
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	224	215	$472.30
G0396	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	<1%	45	33	$310.90
72100		<1%	12	12	$234.50
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	37	37	$173.79
96127		<1%	59	48	$106.99
G0444	Annual depression screening, 5 to 15 minutes	0%	27	24	$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 officialBRAKE, ALLISON (OFFICE SUPERVISOR)