Medicaid Provider Spending

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

CAROLINAS MEDICAL CENTER

NPI: 1396986451 · CHARLOTTE, NC 28207 · Family Medicine Physician · NPI assigned 03/18/2009

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

Authorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more

$2.17M
Total Medicaid Paid
164,450
Total Claims
115,142
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent OrganizationCAROLINAS MEDICAL CENTER
NPI Enumeration Date03/18/2009

Related Entities

Other providers sharing the same authorized official: LAYMON, THOMAS

ProviderCityStateTotal Paid
CAROLINAS MEDICAL CENTER CHARLOTTE NC $17.00M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $11.74M
SOUTH LAKE PEDIATRICS CHARLOTTE NC $1.93M
LINCOLN FAMILY PRACTICE LINCOLNTON NC $1.31M
COX ROAD URGENT CARE GASTONIA NC $1.14M
CAROLINAS PHYSICIANS NETWORK INC LINCOLNTON NC $1.11M
CAROLINAS PHYSICIANS NETWORK INC CHINA GROVE NC $857K
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $225K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $198K
UNIVERSITY PEDIATRICS MINT HILL NC $191K
CAROLINAS-ANSON HEALTHCARE INC. WADESBORO NC $124K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $124K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $68K
CAROLINAS PHYSICIANS NETWORK, INC. FOREST CITY NC $27K
CAROLINAS PHYSICIANS NETWORK, INC. BESSEMER CITY NC $19K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY LINCOLNTON NC $13K
CAROLINAS PHYSICIANS NETWORK INC FOREST CITY NC $11K
CAROLINAS PHYSICIANS NETWORK INC INDIAN TRAIL NC $10K
CAROLINAS PHYSICIANS NETWORK INC RUTHERFORDTON NC $9K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,770 $186K
2019 4,905 $218K
2020 2,924 $104K
2021 17,019 $258K
2022 32,822 $430K
2023 35,948 $410K
2024 65,062 $568K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19,932 17,268 $1.05M
99199 Unlisted special service, procedure or report 131,641 86,915 $719K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,834 6,193 $262K
99442 1,506 1,166 $37K
99232 Subsequent hospital care, per day, moderate complexity 658 255 $30K
99443 640 509 $26K
99238 Hospital discharge day management, 30 minutes or less 316 279 $16K
99215 Prolong outpt/office vis 164 140 $9K
99233 Prolong inpt eval add15 m 89 30 $6K
99309 Subsequent nursing facility care, per day, low to moderate complexity 104 85 $4K
99441 347 262 $4K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,771 1,625 $4K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 54 50 $3K
99310 Prolong nursin fac eval 15m 36 29 $2K
99222 Initial hospital care, per day, moderate complexity 15 12 $1K
99239 Hospital discharge day management, more than 30 minutes 14 12 $997.49
0054A 19 15 $910.00
99252 19 15 $833.16
99243 12 12 $626.17
99401 24 19 $360.46
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 178 177 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 43 43 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 14 14 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 20 17 $0.00