Clinic
Carolina Family and Urgent Care
Carolina Family and Urgent Care was paid $1.78M by Medicaid between Jan 2018 and Apr 2024, across 15 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 46% of everything it billed.
33Billing provider infoCAROLINA FAMILY AND URGENT CARE
LUMBERTON, NC 28358
LUMBERTON, NC 28358
33aNPI1346338159assigned 10/10/2006
33bProvider typeHealth Service Clinic/Center
28Total paid$1.78M
24GClaims66,262
24DCodes billed15
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Health Service Clinic/Center providers in North Carolina
Rank by total paid#6 of 18
Median peer was paid$410K
This provider vs. median4.3×
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 | 354 | $9K | |
| 2019 | 60 | $1K | |
| 2020 | 3,872 | $229K | |
| 2021 | 25,455 | $996K | |
| 2022 | 34,480 | $528K | |
| 2023 | 1,509 | $11K | |
| 2024incomplete | 532 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 46% | 42,854 | 6,295 | $823K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 6,050 | 2,896 | $432K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 5,517 | 2,227 | $277K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6.7% | 2,357 | 1,180 | $119K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.0% | 1,489 | 1,052 | $72K |
| 99199 | Unlisted special service, procedure or report | 1.3% | 3,668 | 1,870 | $22K |
| 80305 | <1% | 2,202 | 1,137 | $14K | |
| 99407 | <1% | 578 | 356 | $12K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 70 | 49 | $5K |
| 95117 | <1% | 128 | 61 | $562.81 | |
| 94760 | <1% | 1,254 | 681 | $155.46 | |
| 81003 | <1% | 47 | 25 | $52.63 |
3 more codes
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 officialHAMMONDS, SHARON (INSURANCE)