Carter Clinic, PA
Carter Clinic, PA was paid $63K by Medicaid between Apr 2020 and Aug 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
WHITEVILLE, NC 28472
Next to other Community/Behavioral Health Agency providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 675 | $25K | |
| 2021 | 381 | $21K | |
| 2022 | 60 | $3K | |
| 2023 | 388 | $14K |
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 | 51% | 522 | 288 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 454 | 276 | $19K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 10% | 159 | 122 | $6K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 5.3% | 151 | 98 | $3K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.8% | 89 | 79 | $2K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.4% | 27 | 16 | $900.60 |
| Q3014 | Telehealth originating site facility fee | <1% | 102 | 54 | $173.12 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Carter Clinic, P a | Raleigh, NC | $19.47M |
| Carter Clinic PA | Wilmington, NC | $3.16M |
| Carter Clinic, P a | Lumberton, NC | $3.12M |
| Carter Clinic, PA | Fayetteville, NC | $2.57M |
| Carter Clinic, PA | Red Springs, NC | $1.78M |
| Carter Clinic PA | Smithfield, NC | $1.51M |
| Carter Clinic, P.A. | Wilson, NC | $1.20M |
| Carter Clinic, P a | Elizabethtown, NC | $639K |
| Carter Clinic, P.A. | Shelby, NC | $149K |
| Carter Clinic PA | Laurinburg, NC | $111K |
| Carter Clinic, PA | Dunn, NC | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.