Carolinas Physicians Network INC
Carolinas Physicians Network INC was paid $1.25M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 54% of everything it billed.
SHELBY, NC 28150
Next to other Hospitalist Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,660 | $107K | |
| 2019 | 5,704 | $219K | |
| 2020 | 2,161 | $90K | |
| 2021 | 3,483 | $201K | |
| 2022 | 3,662 | $229K | |
| 2023 | 4,512 | $219K | |
| 2024incomplete | 3,511 | $188K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 54% | 13,596 | 5,851 | $681K |
| 99223 | Prolong inpt eval add15 m | 20% | 2,537 | 2,265 | $254K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 17% | 6,083 | 2,440 | $209K |
| 99239 | Hospital discharge day management, more than 30 minutes | 6.2% | 1,861 | 1,527 | $77K |
| 99497 | 1.2% | 2,229 | 2,034 | $15K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 59 | 51 | $9K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 202 | 48 | $4K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 29 | 27 | $2K |
| 99220 | <1% | 12 | 12 | $446.78 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 15 | 12 | $446.18 |
| 99199 | Unlisted special service, procedure or report | <1% | 70 | 70 | $395.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Carolinas Medical Center | Charlotte, NC | $52.97M |
| Cotswold Family Medicine | Charlotte, NC | $12.51M |
| Carolinas Physicians Network INC. | Charlotte, NC | $8.93M |
| Carolinas Physicians Network INC | Gastonia, NC | $8.57M |
| Carolinas Physicians Network INC | Rock Hill, SC | $8.47M |
| University Pediatrics | Charlotte, NC | $8.22M |
| Carolinas Medical Center | Charlotte, NC | $6.42M |
| Eastland Urgent Care | Charlotte, NC | $5.05M |
| Carolinas Physicians Network INC | Charlotte, NC | $4.24M |
| University Pediatrics | Charlotte, NC | $3.22M |
| Carolinas Physicians Network INC | Fort Mill, SC | $3.04M |
| Carolinas Physicians Network INC | Concord, NC | $2.91M |
| Carolinas Medical Center | Charlotte, NC | $2.82M |
| Charlotte Pediatric Clinic | Charlotte, NC | $2.46M |
| Carolinas Physicians Network INC | Concord, NC | $2.38M |
| Pediatric Endocrinology & Diabetes Specialists | Charlotte, NC | $2.27M |
| Carolinas Physicians Network INC | Charlotte, NC | $2.06M |
| Carolinas Physicians Network INC | Kannapolis, NC | $1.98M |
| Arboretum Pediatrics | Charlotte, NC | $1.92M |
| Carolinas Physicians Network INC | Charlotte, NC | $1.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.