Medicaid Provider Spending

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

CAROLINAS MEDICAL CENTER

NPI: 1326110909 · CHARLOTTE, NC 28207 · General Practice Physician · NPI assigned 11/15/2006

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

Authorized official DEFURIO, ANTHONY controls 19+ related entities in our dataset. Read more

$16.63M
Total Medicaid Paid
810,566
Total Claims
684,510
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEFURIO, ANTHONY (EVP AND CHIEF FINANCIAL OFFICER)
NPI Enumeration Date11/15/2006

Related Entities

Other providers sharing the same authorized official: DEFURIO, ANTHONY

ProviderCityStateTotal Paid
CAROLINAS MEDICAL CENTER CHARLOTTE NC $177.75M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY SHELBY NC $58.00M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CONCORD NC $56.48M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CHARLOTTE NC $42.82M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $38.15M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY CHARLOTTE NC $20.10M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $17.00M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY ALBEMARLE NC $15.14M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY WADESBORO NC $9.77M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $6.62M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY KINGS MOUNTAIN NC $2.60M
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY SHELBY NC $2.05M
CAROLINAS REHABILITATION HUNTERSVILLE NC $579K
CAROLINAS REHABILITATION CHARLOTTE NC $526K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $281K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $190K
THE CHARLOTTE MECKLENBURG HOSPITAL AUTHORITY CHARLOTTE NC $14K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY SHELBY NC $941.65
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY KINGS MOUNTAIN NC $126.36

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 91,000 $2.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 50,831 42,720 $4.07M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 50,904 42,613 $3.83M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 27,912 23,928 $2.25M
90472 Immunization administration, each additional vaccine (list separately) 60,127 51,715 $1.85M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 90,459 77,792 $1.56M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10,413 8,693 $876K
90460 Immunization administration through 18 years of age via any route, first or only component 26,552 20,292 $642K
96110 Developmental screening, with scoring and documentation, per standardized instrument 62,702 52,985 $473K
90474 19,680 16,994 $213K
D0145 Oral evaluation for a patient under three years of age 7,254 7,152 $209K
99381 1,708 1,339 $125K
96161 33,713 27,746 $102K
83655 7,549 6,536 $96K
D1206 Topical application of fluoride varnish 7,520 7,342 $95K
96127 26,320 20,990 $92K
92551 45,567 38,999 $42K
96160 6,888 5,853 $20K
85018 14,450 12,074 $18K
99173 47,814 41,292 $14K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 181 134 $13K
99384 111 74 $8K
90686 38,254 31,558 $6K
90620 363 287 $5K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,608 1,177 $4K
90651 1,268 1,034 $4K
36415 Collection of venous blood by venipuncture 1,350 1,304 $3K
90723 31,627 26,437 $3K
90734 1,129 908 $3K
90633 14,128 11,959 $451.41
90710 7,118 5,629 $410.65
90656 4,454 4,005 $322.05
90696 1,364 1,165 $310.30
90647 21,469 16,532 $308.87
90700 3,430 2,927 $286.15
90677 5,150 4,447 $261.05
99199 Unlisted special service, procedure or report 23 23 $115.00
90680 25,969 21,760 $98.08
90670 37,826 31,430 $55.02
90715 67 65 $48.18
90649 702 688 $0.08
90648 10,083 9,779 $0.00
90707 3,096 2,902 $0.00
90685 243 238 $0.00
90681 141 139 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 27 27 $0.00
90716 862 705 $0.00
90381 144 106 $0.00
90698 16 16 $0.00