Carolinas Physicians Network INC
Carolinas Physicians Network INC was paid $149K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 61% of everything it billed.
CHARLOTTE, NC 28262
Next to other Family Medicine Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,494 | $29K | |
| 2019 | 831 | $17K | |
| 2020 | 503 | $15K | |
| 2021 | 3,548 | $27K | |
| 2022 | 817 | $20K | |
| 2023 | 1,576 | $24K | |
| 2024incomplete | 1,954 | $17K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 61% | 3,738 | 2,638 | $90K |
| 99199 | Unlisted special service, procedure or report | 22% | 5,913 | 4,938 | $33K |
| 99336 | 5.2% | 254 | 200 | $8K | |
| 99310 | Prolong nursin fac eval 15m | 3.0% | 175 | 147 | $4K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 2.2% | 146 | 138 | $3K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 2.0% | 216 | 167 | $3K |
| 99306 | Prolong nursin fac eval 15m | 1.4% | 58 | 57 | $2K |
| 99337 | 1.2% | 59 | 46 | $2K | |
| 99316 | 1.0% | 52 | 52 | $2K | |
| 99335 | <1% | 68 | 47 | $1K | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 44 | 44 | $253.82 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Carolinas Medical Center | Charlotte, NC | $52.97M |
| Cotswold Family Medicine | Charlotte, NC | $12.51M |
| Carolinas Physicians Network INC. | Charlotte, NC | $8.93M |
| Carolinas Physicians Network INC | Gastonia, NC | $8.57M |
| Carolinas Physicians Network INC | Rock Hill, SC | $8.47M |
| University Pediatrics | Charlotte, NC | $8.22M |
| Carolinas Medical Center | Charlotte, NC | $6.42M |
| Eastland Urgent Care | Charlotte, NC | $5.05M |
| Carolinas Physicians Network INC | Charlotte, NC | $4.24M |
| University Pediatrics | Charlotte, NC | $3.22M |
| Carolinas Physicians Network INC | Fort Mill, SC | $3.04M |
| Carolinas Physicians Network INC | Concord, NC | $2.91M |
| Carolinas Medical Center | Charlotte, NC | $2.82M |
| Charlotte Pediatric Clinic | Charlotte, NC | $2.46M |
| Carolinas Physicians Network INC | Concord, NC | $2.38M |
| Pediatric Endocrinology & Diabetes Specialists | Charlotte, NC | $2.27M |
| Carolinas Physicians Network INC | Charlotte, NC | $2.06M |
| Carolinas Physicians Network INC | Kannapolis, NC | $1.98M |
| Arboretum Pediatrics | Charlotte, NC | $1.92M |
| Carolinas Physicians Network INC | Charlotte, NC | $1.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.