Physician
Carolinaeast Physicians
Carolinaeast Physicians was paid $4.02M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoCAROLINAEAST PHYSICIANS
NEW BERN, NC 28562
NEW BERN, NC 28562
33aNPI1235430976assigned 11/11/2010
33bProvider typeFamily Medicine Physician
28Total paid$4.02M
24GClaims183,020
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#21 of 960
Median peer was paid$135K
This provider vs. median30×
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.
Entity ProliferationAuthorized official SHERRON, TAMMY controls 17+ related entities in our dataset. Read more
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 | 18,753 | $547K | |
| 2019 | 22,289 | $687K | |
| 2020 | 16,133 | $514K | |
| 2021 | 19,506 | $591K | |
| 2022 | 31,982 | $691K | |
| 2023 | 35,141 | $548K | |
| 2024incomplete | 39,216 | $443K |
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 | 43% | 30,033 | 21,803 | $1.71M |
| 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 | 14% | 7,196 | 5,633 | $572K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 3,350 | 2,559 | $269K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.2% | 15,289 | 11,315 | $250K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 2,895 | 2,156 | $238K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 2,943 | 2,236 | $227K |
| 99199 | Unlisted special service, procedure or report | 5.1% | 71,532 | 71,480 | $204K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.9% | 6,915 | 5,307 | $199K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 1,399 | 1,020 | $126K |
| 99051 | 1.1% | 2,084 | 1,575 | $45K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,428 | 3,365 | $35K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 984 | 788 | $35K |
43 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 204 | $20K |
| 87428 | <1% | 231 | $14K | |
| 92551 | <1% | 7,656 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 516 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 494 | $7K |
| 90651 | <1% | 399 | $6K | |
| 90686 | <1% | 7,925 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 181 | $5K |
| 90474 | <1% | 343 | $5K | |
| 99173 | <1% | 7,745 | $4K | |
| 96127 | <1% | 968 | $3K | |
| 0072A | <1% | 55 | $3K | |
| 0071A | <1% | 65 | $3K | |
| 0002A | <1% | 43 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 95 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 74 | $3K |
| 0001A | <1% | 39 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 271 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 181 | $2K |
| 90734 | <1% | 311 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 84 | $1K |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 24 | $736.82 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $615.72 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 41 | $490.11 |
| 90716 | <1% | 15 | $110.00 | |
| 90698 | <1% | 1,767 | $105.50 | |
| 94760 | <1% | 280 | $101.43 | |
| 81025 | <1% | 14 | $90.96 | |
| 92587 | <1% | 105 | $64.36 | |
| 99177 | <1% | 626 | $52.20 | |
| 81001 | <1% | 13 | $43.01 | |
| 90656 | <1% | 231 | $39.10 | |
| 90633 | <1% | 150 | $35.80 | |
| 90680 | 0% | 445 | $0.00 | |
| 3074F | 0% | 165 | $0.00 | |
| 90677 | 0% | 153 | $0.00 | |
| 90744 | 0% | 41 | $0.00 | |
| 90688 | 0% | 45 | $0.00 | |
| 90670 | 0% | 1,711 | $0.00 | |
| 90685 | 0% | 80 | $0.00 | |
| 3078F | 0% | 135 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 90715 | 0% | 21 | $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 officialSHERRON, TAMMY (VP FINANCE/CFO)
| Provider | Location | Paid |
|---|---|---|
| Carolinaeast Medical Center | New Bern, NC | $22.86M |
| Carolinaeast Physicians | Pollocksville, NC | $8.57M |
| Carolinaeast Medical Center | New Bern, NC | $2.99M |
| Carolinaeast Physicians | Cape Carteret, NC | $310K |
| Carolinaeast Physicians | New Bern, NC | $294K |
| Carolinaeast Physicians | Havelock, NC | $134K |
| Carolinaeast Physicians | New Bern, NC | $81K |
| Carolinaeast Medical Center | New Bern, NC | $43K |
| Carolinaeast Medical Center | New Bern, NC | $41K |
| Carolinaeast Physicians | Jacksonville, NC | $23K |
| Carolina East Physicians | Vanceboro, NC | $23K |
| Carolinaeast Physicians | Jacksonville, NC | $17K |
| Carolinaeast Physicians | Morehead City, NC | $13K |
| Carolinaeast Physicians | New Bern, NC | $2K |
| Carolinaeast Physicians | New Bern, NC | $845.00 |
| Carolinaeast Physicians | New Bern, NC | $775.79 |
| Carolinaeast Physicians | New Bern, NC | $96.97 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.