Carolina Specialty Care, PA
Carolina Specialty Care, PA was paid $2.81M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoCAROLINA SPECIALTY CARE, PA
STATESVILLE, NC 28625
STATESVILLE, NC 28625
33aNPI1275596439assigned 04/10/2006
33bProvider typeLegal Medicine
28Total paid$2.81M
24GClaims76,492
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Legal Medicine providers in North Carolina
Rank by total paid#1 of 8
Median peer was paid$25K
This provider vs. median112×
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 | 9,812 | $374K | |
| 2019 | 8,584 | $376K | |
| 2020 | 7,545 | $350K | |
| 2021 | 9,701 | $392K | |
| 2022 | 11,136 | $433K | |
| 2023 | 12,800 | $434K | |
| 2024incomplete | 16,914 | $451K |
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 | 42% | 28,070 | 23,987 | $1.19M |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 20% | 5,184 | 4,346 | $556K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 12,859 | 11,168 | $355K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 12% | 7,503 | 6,286 | $344K |
| 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 | 2.0% | 730 | 575 | $57K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 1.6% | 976 | 745 | $46K |
| 20610 | 1.1% | 1,148 | 790 | $30K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 473 | 335 | $24K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 871 | 741 | $21K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 3,258 | 2,806 | $21K |
| 72100 | <1% | 838 | 680 | $14K | |
| 73560 | <1% | 627 | 534 | $14K |
37 more codes
| 73620 | <1% | 513 | $13K | |
| 73110 | <1% | 504 | $12K | |
| 73130 | <1% | 496 | $11K | |
| 86235 | <1% | 99 | $11K | |
| 99199 | Unlisted special service, procedure or report | <1% | 2,805 | $10K |
| 85651 | <1% | 2,804 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 929 | $8K |
| 73630 | <1% | 351 | $7K | |
| 73600 | <1% | 344 | $7K | |
| 73521 | <1% | 288 | $6K | |
| 73120 | <1% | 225 | $5K | |
| 73100 | <1% | 199 | $5K | |
| 72200 | <1% | 364 | $5K | |
| 72050 | <1% | 135 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 221 | $3K |
| 83516 | <1% | 300 | $3K | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | <1% | 26 | $3K |
| 86481 | <1% | 56 | $2K | |
| 77080 | <1% | 63 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 16 | $2K |
| 86225 | <1% | 99 | $1K | |
| 86200 | <1% | 104 | $1K | |
| 86226 | <1% | 99 | $1K | |
| 86038 | <1% | 90 | $944.01 | |
| 73030 | <1% | 39 | $943.20 | |
| 86480 | <1% | 18 | $917.28 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 281 | $801.94 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,295 | $792.50 |
| 86431 | <1% | 148 | $761.36 | |
| 20552 | <1% | 42 | $684.86 | |
| 90674 | <1% | 13 | $222.93 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 364 | $197.76 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12 | $159.60 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 56 | $145.54 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 217 | $55.55 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 19 | $16.89 |
| 99072 | 0% | 321 | $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 officialWODECKI, ROBERT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Carolina Specialty Care,pa | Statesville, NC | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.