Medicaid Provider Spending

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

CENTRAL CAROLINA MEDICAL CLINIC, PA

NPI: 1407271109 · CHARLOTTE, NC 28214 · Internal Medicine Physician · NPI assigned 03/04/2014

$21K
Total Medicaid Paid
1,370
Total Claims
1,095
Beneficiaries
9
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialNGUYEN, TUONG (OWNER/PHYSICIAN)
NPI Enumeration Date03/04/2014

Related Entities

Other providers sharing the same authorized official: NGUYEN, TUONG

ProviderCityStateTotal Paid
CENTRAL CAROLINA MEDICAL CLINIC, P.A. CHARLOTTE NC $2.04M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,370 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 143 118 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 195 169 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 121 48 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 66 53 $763.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $306.75
81002 12 12 $34.65
3008F 437 365 $0.00
99172 15 12 $0.00
1160F 366 303 $0.00