Physician
Carolinas Medical Center
Carolinas Medical Center was paid $17.00M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 80% of everything it billed.
33Billing provider infoCAROLINAS MEDICAL CENTER
CHARLOTTE, NC 28207
CHARLOTTE, NC 28207
33aNPI1528209681assigned 03/18/2009
33bProvider typePediatric Sports Medicine Physician
28Total paid$17.00M
24GClaims2,536,067
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Sports Medicine Physician providers in North Carolina
Rank by total paid#1 of 5
Median peer was paid$6.55M
This provider vs. median2.6×
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
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 | 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 | |
| 2024incomplete | 263,458 | $1.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 80% | 2,409,481 | 1,280,426 | $13.65M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 40,793 | 35,753 | $1.90M |
| 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 | 6.4% | 16,265 | 14,739 | $1.09M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16,539 | 15,343 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,299 | 1,945 | $51K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14,080 | 13,286 | $42K |
| 99460 | <1% | 515 | 461 | $36K | |
| 96161 | <1% | 21,598 | 18,827 | $36K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 462 | 339 | $33K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 471 | 429 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,917 | 5,600 | $17K |
| 96160 | <1% | 2,125 | 1,986 | $5K |
10 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 73 | $4K |
| 99462 | <1% | 138 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 68 | $4K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 4,350 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 719 | $3K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 27 | $3K |
| 99442 | <1% | 73 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 18 | $708.57 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | $461.79 |
| 99441 | <1% | 38 | $271.68 |
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 (SENIOR VICE PRESIDENT)
Parent organizationCAROLINAS MEDICAL CENTER
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.