Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Forest City › NPI 1417399403
Physician

Carolinas Physicians Network, INC.

Carolinas Physicians Network, INC. was paid $27K by Medicaid between Jan 2018 and Apr 2018, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoCAROLINAS PHYSICIANS NETWORK, INC.
FOREST CITY, NC 28043
33aNPI1417399403assigned 07/19/2013
28Total paid$27K
24GClaims833
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers

Next to other Family Medicine Physician providers in North Carolina

Rank by total paid#681 of 960
Median peer was paid$135K
This provider vs. median0.2×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018833$27K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 85% 533 453 $23K
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 13% 59 57 $4K
36415 Collection of venous blood by venipuncture <1% 163 135 $264.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 13 13 $224.95
81003 <1% 20 18 $30.47
99173 0% 29 28 $0.00
92551 0% 16 16 $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 (SVP)
Parent organizationCAROLINAS PHYSICIANS NETWORK, INC.
Same official

Other billing entities under LAYMON, THOMAS

Full network →
ProviderLocationPaid
Carolinas Medical CenterCharlotte, NC$17.00M
Carolinas Medical CenterCharlotte, NC$11.74M
Carolinas Medical CenterCharlotte, NC$2.17M
South Lake PediatricsCharlotte, NC$1.93M
Lincoln Family PracticeLincolnton, NC$1.31M
Cox Road Urgent CareGastonia, NC$1.14M
Carolinas Physicians Network INCLincolnton, NC$1.11M
Carolinas Physicians Network INCChina Grove, NC$857K
Carolinas Physicians Network INCCharlotte, NC$225K
Carolinas Medical CenterCharlotte, NC$198K
University PediatricsMint Hill, NC$191K
Carolinas-Anson Healthcare INC.Wadesboro, NC$124K
The Charlotte-Mecklenburg Hospital AuthorityMonroe, NC$124K
Mecklenburg Medical GroupCharlotte, NC$68K
Carolinas Physicians Network, INC.Bessemer City, NC$19K
The Charlotte-Mecklenburg Hospital AuthorityLincolnton, NC$13K
Carolinas Physicians Network INCForest City, NC$11K
Carolinas Physicians Network INCIndian Trail, NC$10K
Carolinas Physicians Network INCRutherfordton, NC$9K
Mecklenburg Medical GroupCharlotte, NC$9K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.