Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINAS MEDICAL CENTER

NPI: 1528209681 · CHARLOTTE, NC 28207 · Pediatric Sports Medicine Physician · NPI assigned 03/18/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more

$17.00M
Total Medicaid Paid
2,536,067
Total Claims
1,393,262
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent OrganizationCAROLINAS MEDICAL CENTER
NPI Enumeration Date03/18/2009

Related Entities

Other providers sharing the same authorized official: LAYMON, THOMAS

ProviderCityStateTotal Paid
CAROLINAS MEDICAL CENTER CHARLOTTE NC $11.74M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $2.17M
SOUTH LAKE PEDIATRICS CHARLOTTE NC $1.93M
LINCOLN FAMILY PRACTICE LINCOLNTON NC $1.31M
COX ROAD URGENT CARE GASTONIA NC $1.14M
CAROLINAS PHYSICIANS NETWORK INC LINCOLNTON NC $1.11M
CAROLINAS PHYSICIANS NETWORK INC CHINA GROVE NC $857K
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $225K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $198K
UNIVERSITY PEDIATRICS MINT HILL NC $191K
CAROLINAS-ANSON HEALTHCARE INC. WADESBORO NC $124K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $124K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $68K
CAROLINAS PHYSICIANS NETWORK, INC. FOREST CITY NC $27K
CAROLINAS PHYSICIANS NETWORK, INC. BESSEMER CITY NC $19K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY LINCOLNTON NC $13K
CAROLINAS PHYSICIANS NETWORK INC FOREST CITY NC $11K
CAROLINAS PHYSICIANS NETWORK INC INDIAN TRAIL NC $10K
CAROLINAS PHYSICIANS NETWORK INC RUTHERFORDTON NC $9K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,748 $453K
2019 21,998 $522K
2020 17,738 $308K
2021 406,825 $3.19M
2022 864,559 $5.19M
2023 938,741 $5.59M
2024 263,458 $1.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 2,409,481 1,280,426 $13.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,793 35,753 $1.90M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 16,265 14,739 $1.09M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16,539 15,343 $81K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,299 1,945 $51K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14,080 13,286 $42K
99460 515 461 $36K
96161 21,598 18,827 $36K
99239 Hospital discharge day management, more than 30 minutes 462 339 $33K
99238 Hospital discharge day management, 30 minutes or less 471 429 $27K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,917 5,600 $17K
96160 2,125 1,986 $5K
99215 Prolong outpt/office vis 73 54 $4K
99462 138 105 $4K
99232 Subsequent hospital care, per day, moderate complexity 68 28 $4K
G9919 Screening performed and positive and provision of recommendations 4,350 3,135 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 719 676 $3K
99222 Initial hospital care, per day, moderate complexity 27 26 $3K
99442 73 56 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 18 14 $708.57
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 18 12 $461.79
99441 38 22 $271.68