Clinic
Carolina Family Health Centers, INC
Carolina Family Health Centers, INC was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoCAROLINA FAMILY HEALTH CENTERS, INC
ELM CITY, NC 27822
ELM CITY, NC 27822
33aNPI1093883852assigned 12/01/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.48M
24GClaims176,907
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#36 of 324
Median peer was paid$279K
This provider vs. median8.9×
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 | 6,178 | $201K | |
| 2019 | 5,048 | $196K | |
| 2020 | 4,759 | $164K | |
| 2021 | 16,536 | $309K | |
| 2022 | 27,783 | $355K | |
| 2023 | 53,208 | $455K | |
| 2024incomplete | 63,395 | $796K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 66% | 15,786 | 12,443 | $1.62M |
| 99199 | Unlisted special service, procedure or report | 19% | 84,009 | 49,079 | $476K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 978 | 815 | $75K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 704 | 543 | $62K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 710 | 585 | $57K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 701 | 580 | $49K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 1,774 | 1,416 | $39K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.4% | 3,907 | 3,097 | $36K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 360 | 318 | $6K |
| 85018 | <1% | 3,580 | 3,055 | $6K | |
| 0071A | <1% | 94 | 68 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 508 | 473 | $5K |
80 more codes
| 92552 | <1% | 750 | $5K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 128 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 337 | $4K |
| 0072A | <1% | 54 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 253 | $3K |
| D1110 | Prophylaxis - adult | <1% | 128 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 233 | $2K |
| D1120 | Dental cleaning, child | <1% | 127 | $2K |
| 81003 | <1% | 1,540 | $1K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 147 | $1K |
| 96127 | <1% | 397 | $1K | |
| 99173 | <1% | 1,845 | $784.38 | |
| 0002A | <1% | 15 | $727.44 | |
| 0001A | <1% | 14 | $679.95 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 90 | $677.70 |
| 0011A | <1% | 12 | $650.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 62 | $593.85 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 42 | $588.45 |
| 4274F | <1% | 1,739 | $543.40 | |
| 0012A | <1% | 12 | $520.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 83 | $395.56 |
| D0274 | Bitewings - four radiographic images | <1% | 32 | $355.25 |
| 96161 | <1% | 130 | $250.58 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 84 | $158.04 |
| 90674 | <1% | 644 | $107.04 | |
| 92551 | <1% | 1,104 | $103.66 | |
| 80305 | <1% | 19 | $94.89 | |
| 90661 | <1% | 127 | $65.30 | |
| 1160F | <1% | 4,073 | $26.94 | |
| 90686 | <1% | 583 | $19.56 | |
| 96160 | <1% | 30 | $18.70 | |
| 91300 | <1% | 95 | $5.52 | |
| 3074F | <1% | 5,716 | $1.65 | |
| 3078F | <1% | 4,874 | $1.26 | |
| 3008F | <1% | 8,115 | $1.21 | |
| 1159F | <1% | 4,073 | $1.02 | |
| 3079F | <1% | 686 | $0.32 | |
| 3044F | <1% | 25 | $0.02 | |
| 3075F | <1% | 61 | $0.01 | |
| 90700 | 0% | 27 | $0.00 | |
| 4040F | 0% | 981 | $0.00 | |
| 90681 | 0% | 28 | $0.00 | |
| 90658 | 0% | 30 | $0.00 | |
| 4004F | 0% | 682 | $0.00 | |
| 90671 | 0% | 53 | $0.00 | |
| 90633 | 0% | 53 | $0.00 | |
| 90670 | 0% | 194 | $0.00 | |
| 90713 | 0% | 14 | $0.00 | |
| 80061 | Lipid panel | 0% | 26 | $0.00 |
| 99408 | 0% | 68 | $0.00 | |
| G8780 | Counseling for diet and physical activity performed | 0% | 42 | $0.00 |
| 83655 | 0% | 18 | $0.00 | |
| 90734 | 0% | 16 | $0.00 | |
| 1036F | 0% | 3,986 | $0.00 | |
| 2010F | 0% | 5,678 | $0.00 | |
| 3351F | 0% | 1,097 | $0.00 | |
| 2001F | 0% | 5,654 | $0.00 | |
| 90677 | 0% | 146 | $0.00 | |
| 2000F | 0% | 4,207 | $0.00 | |
| 4037F | 0% | 1,003 | $0.00 | |
| 3066F | 0% | 192 | $0.00 | |
| D1330 | 0% | 190 | $0.00 | |
| 91301 | 0% | 36 | $0.00 | |
| 1034F | 0% | 135 | $0.00 | |
| 90723 | 0% | 160 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 14 | $0.00 |
| 90651 | 0% | 56 | $0.00 | |
| 90647 | 0% | 141 | $0.00 | |
| D0603 | 0% | 21 | $0.00 | |
| D0602 | 0% | 25 | $0.00 | |
| 4010F | 0% | 16 | $0.00 | |
| 90619 | 0% | 19 | $0.00 | |
| 1220F | 0% | 33 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 20 | $0.00 |
| 91307 | 0% | 152 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 23 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 16 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 16 | $0.00 |
| D0601 | 0% | 30 | $0.00 | |
| 90680 | 0% | 19 | $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 officialOWENS, LAURA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Carolina Family Health Centers, INC | Wilson, NC | $5.84M |
| Carolina Family Health Centers, INC | Tarboro, NC | $2.66M |
| Carolina Family Health Centers, INC | Elm City, NC | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.