Physician
Carolinaeast Physicians
Carolinaeast Physicians was paid $8.57M by Medicaid between Jan 2018 and Dec 2024, across 153 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoCAROLINAEAST PHYSICIANS
POLLOCKSVILLE, NC 28573
POLLOCKSVILLE, NC 28573
33aNPI1255632006assigned 11/10/2010
33bProvider typeHospitalist Physician
28Total paid$8.57M
24GClaims336,714
24DCodes billed153
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in North Carolina
Rank by total paid#1 of 60
Median peer was paid$63K
This provider vs. median136×
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 | 33,166 | $818K | |
| 2019 | 36,886 | $1.11M | |
| 2020 | 32,021 | $980K | |
| 2021 | 38,226 | $1.24M | |
| 2022 | 53,447 | $1.50M | |
| 2023 | 70,400 | $1.63M | |
| 2024incomplete | 72,568 | $1.30M |
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 | 40% | 69,645 | 52,941 | $3.43M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 58,439 | 43,147 | $2.41M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 4,173 | 3,205 | $263K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 3,106 | 2,382 | $258K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 3,306 | 2,429 | $253K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.4% | 12,933 | 9,346 | $207K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 6,009 | 4,583 | $181K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 1,372 | 972 | $110K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1.2% | 2,655 | 1,544 | $103K |
| 99199 | Unlisted special service, procedure or report | 1.1% | 28,579 | 28,573 | $98K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.0% | 2,141 | 1,824 | $90K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,269 | 1,169 | $77K |
141 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 776 | $70K |
| 99460 | <1% | 854 | $67K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,154 | $57K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 967 | $50K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 2,834 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 511 | $46K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,510 | $45K |
| 87428 | <1% | 724 | $41K | |
| 80053 | Comprehensive metabolic panel | <1% | 4,381 | $37K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 310 | $36K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,163 | $34K |
| 36415 | Collection of venous blood by venipuncture | <1% | 25,092 | $31K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 1,003 | $30K |
| 80061 | Lipid panel | <1% | 2,275 | $27K |
| 93000 | <1% | 3,047 | $25K | |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | <1% | 226 | $23K |
| 95117 | <1% | 3,490 | $21K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,263 | $19K |
| 86140 | <1% | 3,247 | $17K | |
| 99051 | <1% | 803 | $17K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 864 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,734 | $15K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 1,081 | $15K |
| 99243 | <1% | 168 | $14K | |
| 93295 | <1% | 644 | $13K | |
| 99205 | Prolong outpt/office vis | <1% | 115 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 948 | $12K |
| 93297 | <1% | 1,943 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,036 | $11K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 859 | $11K |
| 90686 | <1% | 6,535 | $11K | |
| 81001 | <1% | 2,988 | $10K | |
| 92567 | <1% | 987 | $10K | |
| 93298 | <1% | 962 | $9K | |
| 85652 | <1% | 3,152 | $9K | |
| 80050 | General health panel | <1% | 984 | $8K |
| 92551 | <1% | 5,150 | $6K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 566 | $6K |
| 71250 | <1% | 104 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 399 | $5K |
| J3262 | Injection, tocilizumab, 1 mg | <1% | 264 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 160 | $5K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 51 | $5K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 15 | $5K |
| 84439 | <1% | 652 | $5K | |
| 90474 | <1% | 328 | $4K | |
| 93294 | <1% | 449 | $4K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 316 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 268 | $4K |
| 69210 | <1% | 203 | $4K | |
| 0002A | <1% | 108 | $4K | |
| 94726 | <1% | 337 | $4K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 52 | $4K |
| 94729 | <1% | 355 | $4K | |
| 0071A | <1% | 88 | $4K | |
| 0001A | <1% | 105 | $4K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 59 | $3K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 183 | $3K |
| 99173 | <1% | 5,372 | $3K | |
| 97597 | <1% | 330 | $3K | |
| 94010 | <1% | 263 | $3K | |
| 82607 | <1% | 216 | $3K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 101 | $3K |
| 93296 | <1% | 310 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,253 | $3K |
| 87276 | <1% | 272 | $2K | |
| 87275 | <1% | 272 | $2K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 317 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 49 | $2K |
| 95910 | <1% | 31 | $2K | |
| 0072A | <1% | 37 | $2K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 15 | $2K |
| 99462 | <1% | 52 | $2K | |
| 96127 | <1% | 443 | $2K | |
| 84479 | <1% | 291 | $2K | |
| 99385 | <1% | 25 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 33 | $1K |
| 84436 | <1% | 293 | $1K | |
| 90651 | <1% | 111 | $1K | |
| 99407 | <1% | 95 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 45 | $1K |
| 84550 | <1% | 286 | $1K | |
| 93299 | <1% | 147 | $1K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 83 | $1K |
| 96367 | <1% | 92 | $1K | |
| 94618 | <1% | 89 | $1K | |
| 94060 | <1% | 65 | $934.42 | |
| 99406 | <1% | 130 | $924.08 | |
| 83721 | <1% | 91 | $818.29 | |
| 82043 | <1% | 124 | $691.56 | |
| 90734 | <1% | 95 | $650.22 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 3,331 | $636.99 |
| 97016 | <1% | 128 | $599.33 | |
| 82570 | <1% | 111 | $554.99 | |
| 11721 | <1% | 46 | $541.03 | |
| 82962 | <1% | 234 | $523.21 | |
| D1206 | Topical application of fluoride varnish | <1% | 83 | $456.49 |
| 88304 | <1% | 60 | $445.82 | |
| 82728 | <1% | 33 | $393.22 | |
| 72202 | <1% | 30 | $354.10 | |
| 83540 | <1% | 78 | $325.56 | |
| 83550 | <1% | 64 | $312.15 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 16 | $291.56 |
| 73130 | <1% | 38 | $266.16 | |
| 0124A | <1% | 22 | $263.09 | |
| 83735 | <1% | 72 | $251.52 | |
| 94760 | <1% | 812 | $244.29 | |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results | <1% | 110 | $229.03 |
| 73630 | <1% | 29 | $204.25 | |
| 87400 | <1% | 18 | $155.43 | |
| 11720 | <1% | 136 | $130.11 | |
| 81025 | <1% | 19 | $124.88 | |
| 90715 | <1% | 20 | $120.33 | |
| 82948 | <1% | 57 | $105.71 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 38 | $87.12 |
| 99177 | <1% | 586 | $65.25 | |
| 51798 | <1% | 15 | $36.88 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 229 | $32.98 |
| 90656 | <1% | 283 | $21.47 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 45 | $10.88 |
| G0008 | Administration of influenza virus vaccine | <1% | 395 | $8.70 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 31 | $5.27 |
| 3078F | 0% | 7,966 | $0.00 | |
| 3077F | 0% | 775 | $0.00 | |
| 90670 | 0% | 1,461 | $0.00 | |
| 90633 | 0% | 82 | $0.00 | |
| 91300 | 0% | 62 | $0.00 | |
| 90662 | 0% | 42 | $0.00 | |
| 90681 | 0% | 28 | $0.00 | |
| 90685 | 0% | 46 | $0.00 | |
| 3075F | 0% | 863 | $0.00 | |
| 3074F | 0% | 7,721 | $0.00 | |
| 3079F | 0% | 1,738 | $0.00 | |
| 90698 | 0% | 1,700 | $0.00 | |
| 90680 | 0% | 410 | $0.00 | |
| 3080F | 0% | 236 | $0.00 | |
| 92587 | 0% | 22 | $0.00 | |
| 90688 | 0% | 43 | $0.00 | |
| 90677 | 0% | 224 | $0.00 | |
| 90744 | 0% | 140 | $0.00 | |
| 3044F | 0% | 89 | $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 | New Bern, NC | $4.02M |
| 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.