James R Carroll MD PA
James R Carroll MD PA was paid $174K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.
33Billing provider infoJAMES R CARROLL MD PA
MULLINS, SC 29574
MULLINS, SC 29574
33aNPI1457308470assigned 05/27/2006
33bProvider typeSpecialist
28Total paid$174K
24GClaims4,766
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in South Carolina
Rank by total paid#28 of 89
Median peer was paid$41K
This provider vs. median4.2×
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.
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 | 836 | $25K | |
| 2019 | 847 | $25K | |
| 2020 | 698 | $22K | |
| 2021 | 963 | $32K | |
| 2022 | 656 | $30K | |
| 2023 | 482 | $24K | |
| 2024incomplete | 284 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 78% | 3,091 | 2,573 | $136K |
| 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 | 21% | 749 | 570 | $37K |
| 36415 | Collection of venous blood by venipuncture | <1% | 469 | 386 | $636.40 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 177 | 122 | $498.39 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 75 | 49 | $46.61 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 15 | 12 | $43.52 |
| 3008F | 0% | 190 | 154 | $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 officialCARROLL, JAMES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Main Line Rehabilitation Associates | Exton, PA | $5.41M |
| Cedar Cove Assisted Living, LLC | Wilmington, NC | $4.34M |
| Main Line Rehabilitation Associates INC | Exton, PA | $251K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.