Clinic
Carolina Elite Women's Care
Carolina Elite Women's Care was paid $1.09M by Medicaid between Jan 2019 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoCAROLINA ELITE WOMEN'S CARE
GARNER, NC 27529
GARNER, NC 27529
33aNPI1386158616assigned 11/22/2017
33bProvider typeMedical Specialty Clinic/Center
28Total paid$1.09M
24GClaims16,972
24DCodes billed19
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in North Carolina
Rank by total paid#7 of 31
Median peer was paid$245K
This provider vs. median4.5×
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 | |
|---|---|---|---|
| 2019 | 488 | $47K | |
| 2020 | 1,095 | $135K | |
| 2021 | 1,503 | $156K | |
| 2022 | 3,031 | $262K | |
| 2023 | 6,032 | $308K | |
| 2024incomplete | 4,823 | $181K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 6,641 | 4,438 | $340K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 20% | 188 | 132 | $222K |
| 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 | 11% | 1,474 | 992 | $115K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 9.3% | 1,433 | 1,041 | $101K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.6% | 945 | 659 | $72K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 6.1% | 631 | 481 | $66K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 4.9% | 887 | 522 | $54K |
| 76830 | Ultrasound, transvaginal | 3.4% | 551 | 354 | $37K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.0% | 223 | 152 | $21K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 1.8% | 525 | 417 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 397 | 322 | $15K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.0% | 104 | 81 | $11K |
7 more codes
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 62 | $5K |
| 99199 | Unlisted special service, procedure or report | <1% | 1,399 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 36 | $3K |
| 81025 | <1% | 327 | $2K | |
| 87210 | <1% | 546 | $1K | |
| 99385 | <1% | 23 | $651.55 | |
| 99000 | 0% | 580 | $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 officialSCOTT, RANDOLPH (OWNER)