Physician
Carolina Heart Physicians PLLC
Carolina Heart Physicians PLLC was paid $178K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoCAROLINA HEART PHYSICIANS PLLC
FAYETTEVILLE, NC 28303
FAYETTEVILLE, NC 28303
33aNPI1154305704assigned 12/06/2005
33bProvider typeCardiovascular Disease Physician
28Total paid$178K
24GClaims17,933
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in North Carolina
Rank by total paid#36 of 109
Median peer was paid$58K
This provider vs. median3.0×
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 | 1,100 | $24K | |
| 2019 | 1,033 | $21K | |
| 2020 | 1,035 | $18K | |
| 2021 | 1,737 | $18K | |
| 2022 | 2,726 | $29K | |
| 2023 | 4,266 | $30K | |
| 2024incomplete | 6,036 | $37K |
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 | 40% | 2,559 | 1,661 | $71K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 24% | 950 | 669 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 1,886 | 1,355 | $37K |
| 93000 | 13% | 4,368 | 3,140 | $23K | |
| 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 | 1.5% | 28 | 25 | $3K |
| 99406 | <1% | 173 | 123 | $869.79 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 17 | 12 | $843.81 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 591 | 361 | $755.03 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 1,605 | 1,304 | $0.97 |
| 3074F | <1% | 550 | 439 | $0.10 | |
| 1159F | <1% | 142 | 109 | $0.09 | |
| 1160F | <1% | 248 | 197 | $0.09 |
14 more codes
| 3078F | <1% | 588 | $0.06 | |
| 3079F | <1% | 130 | $0.05 | |
| 3077F | <1% | 130 | $0.02 | |
| 1036F | 0% | 1,206 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 265 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 112 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 292 | $0.00 |
| 3008F | 0% | 271 | $0.00 | |
| 3075F | 0% | 30 | $0.00 | |
| 4004F | 0% | 65 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 218 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,231 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 44 | $0.00 |
| 1124F | 0% | 234 | $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 officialPAYNE, MARTHA (OFFICE MANAGER)