Physician
Carolinas Emergency Physicians, P.A.
Carolinas Emergency Physicians, P.A. was paid $9.10M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99284, emergency room visit (serious) — 43% of everything it billed.
33Billing provider infoCAROLINAS EMERGENCY PHYSICIANS, P.A.
SHELBY, NC 28150
SHELBY, NC 28150
33aNPI1316264195assigned 05/03/2010
33bProvider typeEmergency Medicine Physician
28Total paid$9.10M
24GClaims168,088
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in North Carolina
Rank by total paid#10 of 196
Median peer was paid$120K
This provider vs. median76×
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 | 24,170 | $1.25M | |
| 2019 | 22,302 | $1.34M | |
| 2020 | 14,368 | $859K | |
| 2021 | 18,558 | $1.27M | |
| 2022 | 34,568 | $1.36M | |
| 2023 | 32,361 | $1.70M | |
| 2024incomplete | 21,761 | $1.33M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 43% | 58,553 | 48,084 | $3.90M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 37% | 39,638 | 32,992 | $3.33M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 42,808 | 35,961 | $1.69M |
| 99053 | <1% | 9,114 | 7,222 | $62K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 557 | 484 | $55K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 17,041 | 13,115 | $55K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 319 | 288 | $9K |
| 99406 | <1% | 15 | 13 | $10.27 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 43 | 39 | $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 officialLOWRY, JAMES (CFO)
| Provider | Location | Paid |
|---|---|---|
| Carolinas Emergency Physicians, P.A. | Kings Mountain, NC | $3.55M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.