Physician
Carolinas Medical Center
Carolinas Medical Center was paid $16.63M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 24% of everything it billed.
33Billing provider infoCAROLINAS MEDICAL CENTER
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
33aNPI1326110909assigned 11/15/2006
33bProvider typeGeneral Practice Physician
28Total paid$16.63M
24GClaims810,566
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in North Carolina
Rank by total paid#2 of 51
Median peer was paid$205K
This provider vs. median81×
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 DEFURIO, ANTHONY controls 19+ 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 | 116,948 | $2.33M | |
| 2019 | 114,050 | $2.40M | |
| 2020 | 97,444 | $2.30M | |
| 2021 | 139,873 | $2.59M | |
| 2022 | 134,344 | $2.16M | |
| 2023 | 116,907 | $2.55M | |
| 2024incomplete | 91,000 | $2.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 24% | 50,831 | 42,720 | $4.07M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 23% | 50,904 | 42,613 | $3.83M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 27,912 | 23,928 | $2.25M |
| 90472 | Immunization administration, each additional vaccine (list separately) | 11% | 60,127 | 51,715 | $1.85M |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.4% | 90,459 | 77,792 | $1.56M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.3% | 10,413 | 8,693 | $876K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.9% | 26,552 | 20,292 | $642K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 62,702 | 52,985 | $473K |
| 90474 | 1.3% | 19,680 | 16,994 | $213K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.3% | 7,254 | 7,152 | $209K |
| 99381 | <1% | 1,708 | 1,339 | $125K | |
| 96161 | <1% | 33,713 | 27,746 | $102K |
36 more codes
| 83655 | <1% | 7,549 | $96K | |
| D1206 | Topical application of fluoride varnish | <1% | 7,520 | $95K |
| 96127 | <1% | 26,320 | $92K | |
| 92551 | <1% | 45,567 | $42K | |
| 96160 | <1% | 6,888 | $20K | |
| 85018 | <1% | 14,450 | $18K | |
| 99173 | <1% | 47,814 | $14K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 181 | $13K |
| 99384 | <1% | 111 | $8K | |
| 90686 | <1% | 38,254 | $6K | |
| 90620 | <1% | 363 | $5K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,608 | $4K |
| 90651 | <1% | 1,268 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,350 | $3K |
| 90723 | <1% | 31,627 | $3K | |
| 90734 | <1% | 1,129 | $3K | |
| 90633 | <1% | 14,128 | $451.41 | |
| 90710 | <1% | 7,118 | $410.65 | |
| 90656 | <1% | 4,454 | $322.05 | |
| 90696 | <1% | 1,364 | $310.30 | |
| 90647 | <1% | 21,469 | $308.87 | |
| 90700 | <1% | 3,430 | $286.15 | |
| 90677 | <1% | 5,150 | $261.05 | |
| 99199 | Unlisted special service, procedure or report | <1% | 23 | $115.00 |
| 90680 | <1% | 25,969 | $98.08 | |
| 90670 | <1% | 37,826 | $55.02 | |
| 90715 | <1% | 67 | $48.18 | |
| 90649 | <1% | 702 | $0.08 | |
| 90648 | 0% | 10,083 | $0.00 | |
| 90707 | 0% | 3,096 | $0.00 | |
| 90685 | 0% | 243 | $0.00 | |
| 90681 | 0% | 141 | $0.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 27 | $0.00 |
| 90716 | 0% | 862 | $0.00 | |
| 90381 | 0% | 144 | $0.00 | |
| 90698 | 0% | 16 | $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 officialDEFURIO, ANTHONY (EVP AND CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.