Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINAS MEDICAL CENTER

NPI: 1275774333 · CHARLOTTE, NC 28207 · Maternal & Fetal Medicine Physician · NPI assigned 03/18/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more

$11.74M
Total Medicaid Paid
200,817
Total Claims
144,863
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent OrganizationCAROLINAS MEDICAL CENTER
NPI Enumeration Date03/18/2009

Related Entities

Other providers sharing the same authorized official: LAYMON, THOMAS

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 24,306 $943K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 8,469 7,672 $5.16M
59514 2,594 2,221 $1.54M
99232 Subsequent hospital care, per day, moderate complexity 19,678 14,723 $1.06M
99238 Hospital discharge day management, 30 minutes or less 11,176 10,127 $556K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16,238 12,979 $539K
99199 Unlisted special service, procedure or report 70,751 43,014 $466K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 16,274 12,692 $457K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 4,416 3,780 $276K
76819 Fetal biophysical profile; without non-stress testing 8,911 6,569 $230K
59025 Fetal non-stress test 12,239 6,659 $219K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 1,678 1,282 $167K
59430 2,068 1,811 $160K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,547 1,956 $127K
99219 1,413 1,333 $117K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,969 2,552 $104K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,736 3,966 $80K
99233 Prolong inpt eval add15 m 1,094 524 $71K
76801 1,947 1,685 $71K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,433 1,292 $44K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 982 839 $37K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,614 1,327 $35K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,501 1,116 $32K
99242 604 576 $28K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,040 815 $25K
99243 411 346 $25K
99244 Office or other outpatient consultation, moderate to high complexity 242 163 $23K
76820 1,308 789 $21K
59200 470 403 $12K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 14 12 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 215 165 $11K
99222 Initial hospital care, per day, moderate complexity 99 81 $9K
99442 229 176 $6K
99241 270 218 $5K
99441 226 176 $3K
11981 34 27 $2K
99215 Prolong outpt/office vis 24 20 $2K
99443 44 39 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 16 16 $744.32
99401 47 30 $629.93
58300 13 13 $554.32
76818 20 13 $531.96
99473 23 12 $88.02
99499 101 91 $0.00
58611 13 12 $0.00
99024 626 551 $0.00