Carolina Gi Associates, PC

Carolina Gi Associates, PC was paid $56K by Medicaid between Jan 2018 and Nov 2019, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoCAROLINA GI ASSOCIATES, PC
HENDERSON, NC 27536

33aNPI1164484838assigned 04/06/2006

33bProvider typeGastroenterology Physician

28Total paid$56K

24GClaims1,369

24DCodes billed11

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Gastroenterology Physician providers in North Carolina

Rank by total paid#28 of 64

Median peer was paid$44K

This provider vs. median1.3×

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	875	$33K
2019	494	$23K

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	39%	522	495	$22K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	23%	415	395	$13K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	15%	166	160	$8K
45380	Colonoscopy, flexible; with biopsy, single or multiple	6.8%	42	41	$4K
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	4.8%	31	27	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.9%	52	50	$2K
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	2.2%	17	14	$1K
99222	Initial hospital care, per day, moderate complexity	2.2%	62	58	$1K
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	1.6%	29	27	$896.55
43235		1.2%	16	15	$691.56
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	1.0%	17	12	$565.15

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 officialDUBINSKI, MARK (OWNER)