Physician
Carolina Orthopaedic & Sports Medicine Center PA
Carolina Orthopaedic & Sports Medicine Center PA was paid $572K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoCAROLINA ORTHOPAEDIC & SPORTS MEDICINE CENTER PA
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1255380143assigned 05/08/2006
33bProvider typeOrthopaedic Hand Surgery Physician
28Total paid$572K
24GClaims18,128
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Orthopaedic Hand Surgery Physician providers in North Carolina
Rank by total paid#3 of 7
Median peer was paid$23K
This provider vs. median25×
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 | 2,654 | $64K | |
| 2019 | 3,167 | $92K | |
| 2020 | 2,069 | $65K | |
| 2021 | 2,906 | $108K | |
| 2022 | 3,093 | $96K | |
| 2023 | 2,405 | $82K | |
| 2024incomplete | 1,834 | $64K |
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 | 42% | 8,346 | 6,919 | $242K |
| 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 | 23% | 3,209 | 2,681 | $130K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 1,644 | 1,376 | $106K |
| 20610 | 8.6% | 2,114 | 1,431 | $49K | |
| 73610 | 2.2% | 1,006 | 657 | $13K | |
| 64483 | 2.1% | 139 | 101 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 192 | 163 | $10K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 856 | 740 | $4K |
| 73630 | <1% | 226 | 144 | $3K | |
| 73110 | <1% | 53 | 39 | $901.17 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 111 | 39 | $718.59 |
| 73030 | <1% | 107 | 65 | $664.43 |
6 more codes
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 officialTHOMASON, HENRY (MD)