Physician
Carolina Cape Fear Medical Group, PA
Carolina Cape Fear Medical Group, PA was paid $3.55M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoCAROLINA CAPE FEAR MEDICAL GROUP, PA
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
33aNPI1124450572assigned 08/07/2013
33bProvider typeCardiovascular Disease Physician
28Total paid$3.55M
24GClaims69,578
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in North Carolina
Rank by total paid#3 of 109
Median peer was paid$58K
This provider vs. median61×
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 | 7,910 | $375K | |
| 2019 | 9,298 | $403K | |
| 2020 | 8,177 | $468K | |
| 2021 | 12,644 | $759K | |
| 2022 | 12,100 | $638K | |
| 2023 | 10,313 | $491K | |
| 2024incomplete | 9,136 | $417K |
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 | 24% | 19,733 | 16,086 | $842K |
| 36478 | 17% | 1,482 | 778 | $618K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 12% | 5,097 | 4,448 | $427K |
| 93970 | 7.4% | 2,709 | 2,392 | $262K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.6% | 6,472 | 5,098 | $198K |
| 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 | 5.3% | 2,420 | 1,904 | $188K |
| 93925 | 4.3% | 1,588 | 1,392 | $153K | |
| 93971 | 4.1% | 2,292 | 1,740 | $146K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.6% | 1,853 | 1,359 | $126K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 3.5% | 1,975 | 1,446 | $126K |
| 93000 | 2.4% | 11,365 | 9,503 | $86K | |
| 93880 | 1.9% | 797 | 690 | $66K |
32 more codes
| 93015 | 1.5% | 2,124 | $54K | |
| 36473 | 1.4% | 119 | $49K | |
| J2785 | Injection, regadenoson, 0.1 mg | 1.1% | 942 | $39K |
| 36475 | <1% | 39 | $22K | |
| 93922 | <1% | 649 | $19K | |
| 93923 | <1% | 247 | $19K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 59 | $17K |
| 93224 | <1% | 359 | $16K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 313 | $10K |
| 99199 | Unlisted special service, procedure or report | <1% | 2,342 | $9K |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 142 | $7K |
| 75716 | <1% | 97 | $6K | |
| 93458 | <1% | 66 | $6K | |
| 95811 | <1% | 14 | $4K | |
| 80061 | Lipid panel | <1% | 955 | $4K |
| 99152 | <1% | 411 | $4K | |
| 36245 | <1% | 22 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 49 | $3K |
| 36246 | <1% | 19 | $3K | |
| 93225 | <1% | 239 | $3K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 303 | $2K |
| 93227 | <1% | 153 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 117 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,578 | $1K |
| 75630 | <1% | 18 | $1K | |
| 78451 | <1% | 16 | $1K | |
| 75774 | <1% | 19 | $940.35 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 22 | $872.27 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 301 | $708.66 |
| 90756 | <1% | 22 | $256.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21 | $125.73 |
| 76937 | <1% | 18 | $84.21 |
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 officialSAINI, HARI (OWNER)
Parent organizationCAROLINA CAPE FEAR MEDICAL GROUP, PA