Physician
Carolinas Medical Center
Carolinas Medical Center was paid $11.74M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 59409, Vaginal delivery only (with or without episiotomy and/or forceps) — 44% of everything it billed.
33Billing provider infoCAROLINAS MEDICAL CENTER
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
33aNPI1275774333assigned 03/18/2009
33bProvider typeMaternal & Fetal Medicine Physician
28Total paid$11.74M
24GClaims200,817
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Maternal & Fetal Medicine Physician providers in North Carolina
Rank by total paid#1 of 24
Median peer was paid$280K
This provider vs. median42×
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 LAYMON, THOMAS controls 20+ 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 | 13,007 | $1.43M | |
| 2019 | 26,361 | $2.15M | |
| 2020 | 22,547 | $1.80M | |
| 2021 | 35,279 | $1.90M | |
| 2022 | 46,615 | $2.03M | |
| 2023 | 32,702 | $1.48M | |
| 2024incomplete | 24,306 | $943K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 44% | 8,469 | 7,672 | $5.16M |
| 59514 | 13% | 2,594 | 2,221 | $1.54M | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.1% | 19,678 | 14,723 | $1.06M |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.7% | 11,176 | 10,127 | $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 | 4.6% | 16,238 | 12,979 | $539K |
| 99199 | Unlisted special service, procedure or report | 4.0% | 70,751 | 43,014 | $466K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 3.9% | 16,274 | 12,692 | $457K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.4% | 4,416 | 3,780 | $276K |
| 76819 | Fetal biophysical profile; without non-stress testing | 2.0% | 8,911 | 6,569 | $230K |
| 59025 | Fetal non-stress test | 1.9% | 12,239 | 6,659 | $219K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | 1.4% | 1,678 | 1,282 | $167K |
| 59430 | 1.4% | 2,068 | 1,811 | $160K |
33 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.1% | 2,547 | $127K |
| 99219 | <1% | 1,413 | $117K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 2,969 | $104K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,736 | $80K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,094 | $71K |
| 76801 | <1% | 1,947 | $71K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,433 | $44K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 982 | $37K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,614 | $35K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,501 | $32K |
| 99242 | <1% | 604 | $28K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,040 | $25K |
| 99243 | <1% | 411 | $25K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 242 | $23K |
| 76820 | <1% | 1,308 | $21K | |
| 59200 | <1% | 470 | $12K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 14 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 215 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 99 | $9K |
| 99442 | <1% | 229 | $6K | |
| 99241 | <1% | 270 | $5K | |
| 99441 | <1% | 226 | $3K | |
| 11981 | <1% | 34 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 24 | $2K |
| 99443 | <1% | 44 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 16 | $744.32 |
| 99401 | <1% | 47 | $629.93 | |
| 58300 | <1% | 13 | $554.32 | |
| 76818 | <1% | 20 | $531.96 | |
| 99473 | <1% | 23 | $88.02 | |
| 99499 | 0% | 101 | $0.00 | |
| 58611 | 0% | 13 | $0.00 | |
| 99024 | 0% | 626 | $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 officialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent organizationCAROLINAS MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Carolinas Medical Center | Charlotte, NC | $17.00M |
| Carolinas Medical Center | Charlotte, NC | $2.17M |
| South Lake Pediatrics | Charlotte, NC | $1.93M |
| Lincoln Family Practice | Lincolnton, NC | $1.31M |
| Cox Road Urgent Care | Gastonia, NC | $1.14M |
| Carolinas Physicians Network INC | Lincolnton, NC | $1.11M |
| Carolinas Physicians Network INC | China Grove, NC | $857K |
| Carolinas Physicians Network INC | Charlotte, NC | $225K |
| Carolinas Medical Center | Charlotte, NC | $198K |
| University Pediatrics | Mint Hill, NC | $191K |
| Carolinas-Anson Healthcare INC. | Wadesboro, NC | $124K |
| The Charlotte-Mecklenburg Hospital Authority | Monroe, NC | $124K |
| Mecklenburg Medical Group | Charlotte, NC | $68K |
| Carolinas Physicians Network, INC. | Forest City, NC | $27K |
| Carolinas Physicians Network, INC. | Bessemer City, NC | $19K |
| The Charlotte-Mecklenburg Hospital Authority | Lincolnton, NC | $13K |
| Carolinas Physicians Network INC | Forest City, NC | $11K |
| Carolinas Physicians Network INC | Indian Trail, NC | $10K |
| Carolinas Physicians Network INC | Rutherfordton, NC | $9K |
| Mecklenburg Medical Group | Charlotte, NC | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.