Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carolina Medicorp Enterprises, INC.

Carolina Medicorp Enterprises, INC. was paid $123K by Medicaid between May 2018 and Dec 2018, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

33Billing provider infoCAROLINA MEDICORP ENTERPRISES, INC.
WINSTON SALEM, NC 27106
33aNPI1235643420assigned 11/27/2017
28Total paid$123K
24GClaims5,778
24DCodes billed16
24AFirst – last monthMay 2018 – Dec 2018
Compared with peers

Next to other Emergency Medicine Physician providers in North Carolina

Rank by total paid#97 of 196
Median peer was paid$120K
This provider vs. median1.0×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,778$123K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 60% 2,385 1,140 $74K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26% 1,010 471 $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 11% 534 283 $13K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.8% 54 28 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 192 85 $1K
81003 <1% 121 45 $96.95
87210 <1% 26 13 $51.70
36415 Collection of venous blood by venipuncture <1% 29 13 $29.70
G8432 Depression screening not documented, reason not given 0% 209 112 $0.00
1036F 0% 93 55 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 85 40 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 87 51 $0.00
4 more codes
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 417 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 46 $0.00
G8541 Functional outcome assessment using a standardized tool not documented, reason not given 0% 424 $0.00
G8509 Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given 0% 66 $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 officialMATTHEWS, MARIMARTHA (SR. DIRECTOR)