Carolina Rehabilitation and Surgical Associates, PA

Carolina Rehabilitation and Surgical Associates, PA was paid $8.01M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is J0585, Injection, onabotulinumtoxina, 1 unit — 34% of everything it billed.

33Billing provider infoCAROLINA REHABILITATION AND SURGICAL ASSOCIATES, PA
RALEIGH, NC 27610

33aNPI1518913656assigned 05/26/2006

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$8.01M

24GClaims176,297

24DCodes billed24

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in North Carolina

Rank by total paid#1 of 42

Median peer was paid$18K

This provider vs. median456×

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	19,587	$795K
2019	20,411	$855K
2020	26,318	$1.14M
2021	28,774	$1.37M
2022	27,188	$1.39M
2023	29,388	$1.25M
2024incomplete	24,631	$1.21M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0585	Injection, onabotulinumtoxina, 1 unit	34%	2,836	2,484	$2.76M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	31%	58,974	19,179	$2.45M
99308	Subsequent nursing facility care, per day, straightforward	24%	91,817	44,717	$1.90M
J0475	Injection, baclofen, 10 mg	2.3%	509	431	$183K
99306	Prolong nursin fac eval 15m	2.0%	4,944	4,528	$157K
99223	Prolong inpt eval add15 m	1.3%	1,087	1,017	$106K
64643		1.1%	1,850	1,673	$85K
64642		<1%	1,249	1,103	$77K
99307		<1%	5,962	3,531	$68K
64644		<1%	1,198	1,071	$65K
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%	1,616	1,455	$60K
95874		<1%	2,734	2,459	$38K

12 more codes

62370		<1%	709	$27K
99204	Doctor's office visit, new patient (more involved)	<1%	166	$13K
J3490	Unclassified drugs	<1%	97	$7K
99203	Doctor's office visit, new patient (routine)	<1%	67	$3K
95886		<1%	65	$3K
99315		<1%	54	$2K
99239	Hospital discharge day management, more than 30 minutes	<1%	36	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	149	$569.28
J7999	Compounded drug, not otherwise classified	<1%	12	$172.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	104	$0.00
G8433	Screening for depression not completed, documented patient or medical reason	0%	34	$0.00
G9717	Documentation stating the patient has had a diagnosis of bipolar disorder	0%	28	$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 officialLAWRENCE, KAREN (OPERATIONS DIRECTOR)