Physician
Carohealth Associates, PLLC
Carohealth Associates, PLLC was paid $6.83M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoCAROHEALTH ASSOCIATES, PLLC
CHARLOTTE, NC 28213
CHARLOTTE, NC 28213
33aNPI1215997473assigned 03/23/2006
33bProvider typePediatrics Physician
28Total paid$6.83M
24GClaims278,782
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in North Carolina
Rank by total paid#60 of 433
Median peer was paid$942K
This provider vs. median7.2×
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 | 24,279 | $877K | |
| 2019 | 22,495 | $966K | |
| 2020 | 20,034 | $897K | |
| 2021 | 46,596 | $1.22M | |
| 2022 | 75,560 | $1.37M | |
| 2023 | 63,555 | $992K | |
| 2024incomplete | 26,263 | $501K |
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 | 29% | 21,107 | 16,450 | $1.99M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 21,907 | 16,445 | $1.33M |
| 99199 | Unlisted special service, procedure or report | 9.7% | 116,731 | 70,696 | $664K |
| 99401 | 6.6% | 14,557 | 9,270 | $452K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 4,049 | 3,576 | $380K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 3,308 | 2,893 | $336K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 12,124 | 7,453 | $231K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.3% | 4,606 | 4,093 | $222K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 2,243 | 2,055 | $205K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 9,346 | 8,237 | $172K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.5% | 12,980 | 10,425 | $170K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 1,112 | 986 | $137K |
55 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 1,575 | $131K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 2,651 | $103K |
| 90651 | <1% | 1,486 | $31K | |
| 90620 | <1% | 1,597 | $29K | |
| 87807 | <1% | 1,917 | $26K | |
| 87428 | <1% | 328 | $18K | |
| 99442 | <1% | 310 | $16K | |
| 99205 | Prolong outpt/office vis | <1% | 76 | $15K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 97 | $14K |
| 99070 | <1% | 1,825 | $14K | |
| 96127 | <1% | 3,354 | $13K | |
| 90734 | <1% | 1,044 | $12K | |
| 81003 | <1% | 4,779 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,190 | $10K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 785 | $10K |
| 99441 | <1% | 374 | $9K | |
| 0001A | <1% | 262 | $8K | |
| 99354 | <1% | 85 | $8K | |
| 99051 | <1% | 370 | $7K | |
| 92551 | <1% | 4,621 | $7K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 210 | $7K |
| 0071A | <1% | 84 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 258 | $5K |
| 0072A | <1% | 75 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $4K |
| 99443 | <1% | 49 | $4K | |
| 90474 | <1% | 168 | $3K | |
| 0002A | <1% | 91 | $3K | |
| 90686 | <1% | 3,356 | $3K | |
| 99050 | <1% | 126 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 193 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 87 | $2K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 52 | $2K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 382 | $1K |
| 90715 | <1% | 294 | $1K | |
| 99173 | <1% | 5,596 | $991.29 | |
| 94760 | <1% | 2,892 | $254.34 | |
| 90633 | <1% | 620 | $233.44 | |
| 87905 | <1% | 13 | $213.46 | |
| 90716 | <1% | 561 | $139.02 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $69.44 |
| 96160 | <1% | 104 | $67.51 | |
| 90670 | 0% | 1,308 | $0.00 | |
| 90707 | 0% | 541 | $0.00 | |
| 90648 | 0% | 1,087 | $0.00 | |
| 97803 | 0% | 38 | $0.00 | |
| 90681 | 0% | 182 | $0.00 | |
| 91300 | 0% | 526 | $0.00 | |
| 99072 | 0% | 56 | $0.00 | |
| 99000 | 0% | 5,992 | $0.00 | |
| 90723 | 0% | 690 | $0.00 | |
| 91307 | 0% | 184 | $0.00 | |
| 90696 | 0% | 53 | $0.00 | |
| 97802 | 0% | 35 | $0.00 | |
| 90697 | 0% | 14 | $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 officialMEHTA, ANITA (OWNER/CHIEF MEDICAL OFFICER)