Physician
Carolina Family Care, INC
Carolina Family Care, INC was paid $4.06M by Medicaid between Mar 2019 and Jun 2023, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoCAROLINA FAMILY CARE, INC
FLORENCE, SC 29505
FLORENCE, SC 29505
33aNPI1093076457assigned 06/01/2012
33bProvider typeInternal Medicine Physician
28Total paid$4.06M
24GClaims102,334
24DCodes billed72
24AFirst – last monthMar 2019 – Jun 2023
Compared with peers
Next to other Internal Medicine Physician providers in South Carolina
Rank by total paid#8 of 273
Median peer was paid$19K
This provider vs. median214×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RAE, KARYN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 38,200 | $1.59M | |
| 2020 | 42,741 | $1.63M | |
| 2021 | 19,100 | $742K | |
| 2022 | 1,948 | $89K | |
| 2023 | 345 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 30,446 | 27,806 | $1.48M |
| 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 | 36% | 24,468 | 22,610 | $1.45M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.0% | 2,271 | 2,193 | $205K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 1,935 | 1,885 | $186K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 6,421 | 6,333 | $113K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 1,394 | 1,341 | $91K |
| 90461 | 1.9% | 4,362 | 3,900 | $78K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 698 | 682 | $66K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 610 | 592 | $64K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 1.2% | 456 | 335 | $48K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 3,501 | 1,730 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,188 | 1,148 | $37K |
60 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,725 | $36K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 281 | $29K |
| 99442 | <1% | 1,093 | $28K | |
| 99460 | <1% | 152 | $13K | |
| 99241 | <1% | 319 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,880 | $12K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 128 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 80 | $5K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 357 | $5K |
| 96127 | <1% | 689 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 481 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 42 | $4K |
| 99462 | <1% | 147 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,004 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 560 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 619 | $3K |
| 81003 | <1% | 1,519 | $3K | |
| 85018 | <1% | 1,327 | $3K | |
| 90686 | <1% | 1,195 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 70 | $3K |
| 99443 | <1% | 78 | $2K | |
| 99382 | <1% | 21 | $2K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 262 | $2K |
| 99381 | <1% | 15 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 47 | $1K |
| 99441 | <1% | 146 | $1K | |
| 80061 | Lipid panel | <1% | 141 | $1K |
| 54150 | <1% | 14 | $1K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 95 | $961.21 |
| 99490 | Ccm add 20min | <1% | 135 | $933.86 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 81 | $898.83 |
| 99334 | <1% | 69 | $808.11 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | $700.00 |
| 87807 | <1% | 63 | $653.23 | |
| 99201 | <1% | 32 | $562.08 | |
| 90670 | <1% | 1,174 | $548.79 | |
| 87430 | <1% | 32 | $398.36 | |
| 81002 | <1% | 74 | $202.00 | |
| 90680 | <1% | 160 | $188.00 | |
| 90723 | <1% | 374 | $184.00 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 28 | $167.94 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $125.65 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 25 | $91.31 |
| 99307 | <1% | 21 | $53.06 | |
| 82044 | <1% | 13 | $47.25 | |
| 87210 | <1% | 12 | $43.56 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | $32.76 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 44 | $10.09 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 14 | $2.00 |
| 90734 | 0% | 101 | $0.00 | |
| 90633 | 0% | 416 | $0.00 | |
| 90715 | 0% | 152 | $0.00 | |
| 90707 | 0% | 44 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 90710 | 0% | 28 | $0.00 | |
| 90647 | 0% | 335 | $0.00 | |
| 90651 | 0% | 209 | $0.00 | |
| 90698 | 0% | 290 | $0.00 | |
| 90716 | 0% | 74 | $0.00 | |
| 90744 | 0% | 41 | $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 officialRAE, KARYN (DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.