Physician
Carolina Oncology Specialist PA
Carolina Oncology Specialist PA was paid $218K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 83% of everything it billed.
33Billing provider infoCAROLINA ONCOLOGY SPECIALIST PA
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
33aNPI1467406736assigned 05/20/2006
33bProvider typeHematology & Oncology Physician
28Total paid$218K
24GClaims26,812
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Hematology & Oncology Physician providers in North Carolina
Rank by total paid#11 of 46
Median peer was paid$36K
This provider vs. median6.1×
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 | 2,111 | $27K | |
| 2019 | 2,630 | $38K | |
| 2020 | 1,545 | $25K | |
| 2021 | 5,415 | $31K | |
| 2022 | 4,340 | $33K | |
| 2023 | 8,114 | $38K | |
| 2024incomplete | 2,657 | $26K |
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 | 83% | 7,492 | 3,594 | $181K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.6% | 9,755 | 4,351 | $21K |
| 36415 | Collection of venous blood by venipuncture | 2.5% | 7,430 | 3,511 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 170 | 75 | $5K |
| 80053 | Comprehensive metabolic panel | 2.1% | 1,723 | 873 | $5K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 91 | 26 | $672.19 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 15 | 14 | $468.82 |
| 83540 | <1% | 136 | 76 | $194.57 |
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 officialJORDAN, MICHELLE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Cleco Primary Care Network | Shelby, NC | $2.02M |
| Cleco Primary Care Network | Kings Mountain, NC | $704K |
| Cleco Primary Care Network | Lawndale, NC | $560K |
| Spring Street Dental | Jeffersonville, IN | $186K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.