Physician
Carolina Pain Associates, PA
Carolina Pain Associates, PA was paid $319K by Medicaid between Jan 2018 and Dec 2022, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoCAROLINA PAIN ASSOCIATES, PA
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
33aNPI1134454853assigned 10/14/2009
33bProvider typePain Medicine Physician
28Total paid$319K
24GClaims15,392
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Pain Medicine Physician providers in North Carolina
Rank by total paid#8 of 17
Median peer was paid$197K
This provider vs. median1.6×
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 | 2,961 | $60K | |
| 2019 | 3,188 | $86K | |
| 2020 | 2,912 | $60K | |
| 2021 | 3,776 | $64K | |
| 2022 | 2,555 | $48K |
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 | 42% | 5,881 | 4,623 | $134K |
| 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 | 41% | 5,008 | 3,416 | $131K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.3% | 912 | 645 | $26K |
| 99442 | 4.5% | 1,150 | 766 | $14K | |
| 99205 | Prolong outpt/office vis | 1.9% | 83 | 56 | $6K |
| 80305 | 1.2% | 612 | 485 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 190 | 156 | $3K |
| 96127 | <1% | 138 | 84 | $329.17 | |
| 96160 | <1% | 251 | 186 | $283.54 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 180 | 145 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 177 | 136 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 54 | 47 | $0.00 |
5 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 572 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 62 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 48 | $0.00 |
| G9584 | Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy | 0% | 19 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 55 | $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 officialARONOFF, GERALD (PRESIDENT)