Physician
Carolinas Medical Center
Carolinas Medical Center was paid $2.17M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoCAROLINAS MEDICAL CENTER
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
33aNPI1396986451assigned 03/18/2009
33bProvider typeFamily Medicine Physician
28Total paid$2.17M
24GClaims164,450
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#55 of 960
Median peer was paid$135K
This provider vs. median16×
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.
Entity ProliferationAuthorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more
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 | 5,770 | $186K | |
| 2019 | 4,905 | $218K | |
| 2020 | 2,924 | $104K | |
| 2021 | 17,019 | $258K | |
| 2022 | 32,822 | $430K | |
| 2023 | 35,948 | $410K | |
| 2024incomplete | 65,062 | $568K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 48% | 19,932 | 17,268 | $1.05M |
| 99199 | Unlisted special service, procedure or report | 33% | 131,641 | 86,915 | $719K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 6,834 | 6,193 | $262K |
| 99442 | 1.7% | 1,506 | 1,166 | $37K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.4% | 658 | 255 | $30K |
| 99443 | 1.2% | 640 | 509 | $26K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 316 | 279 | $16K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 164 | 140 | $9K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 89 | 30 | $6K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 104 | 85 | $4K |
| 99441 | <1% | 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% | 1,771 | 1,625 | $4K |
12 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 54 | $3K |
| 99310 | Prolong nursin fac eval 15m | <1% | 36 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 15 | $1K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $997.49 |
| 0054A | <1% | 19 | $910.00 | |
| 99252 | <1% | 19 | $833.16 | |
| 99243 | <1% | 12 | $626.17 | |
| 99401 | <1% | 24 | $360.46 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 178 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 43 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 14 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 20 | $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 officialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent organizationCAROLINAS MEDICAL CENTER
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.