Clinic
Carthage Family Care PA
Carthage Family Care PA was paid $250K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoCARTHAGE FAMILY CARE PA
CARTHAGE, NC 28327
CARTHAGE, NC 28327
33aNPI1215322557assigned 04/03/2015
33bProvider typeClinic/Center
28Total paid$250K
24GClaims22,559
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in North Carolina
Rank by total paid#23 of 57
Median peer was paid$97K
This provider vs. median2.6×
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 | 1,867 | $46K | |
| 2019 | 1,916 | $48K | |
| 2020 | 1,467 | $33K | |
| 2021 | 3,102 | $52K | |
| 2022 | 4,943 | $44K | |
| 2023 | 4,143 | $13K | |
| 2024incomplete | 5,121 | $14K |
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 | 49% | 2,851 | 2,106 | $122K |
| 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 | 21% | 1,311 | 896 | $53K |
| 99199 | Unlisted special service, procedure or report | 21% | 14,912 | 14,270 | $52K |
| 99490 | Ccm add 20min | 4.7% | 2,518 | 1,522 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 514 | 318 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 126 | 101 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 83 | 67 | $915.90 |
| 90686 | <1% | 162 | 138 | $551.94 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 53 | 41 | $494.55 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | 12 | $429.45 |
| 81002 | <1% | 16 | 12 | $34.65 |
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 officialBALLARD, MARCIA (PRESIDENT)