Carolinaeast Medical Center
Carolinaeast Medical Center was paid $2.99M by Medicaid between Jan 2018 and Feb 2024, across 4 billing codes. Its largest line is T1016, Case management, each 15 minutes — 99% of everything it billed.
NEW BERN, NC 28560
Next to other Case Management Agency providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,234 | $267K | |
| 2019 | 10,534 | $339K | |
| 2020 | 1,612 | $584K | |
| 2021 | 1,648 | $588K | |
| 2022 | 1,618 | $589K | |
| 2023 | 1,664 | $596K | |
| 2024incomplete | 104 | $29K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 99% | 27,158 | 9,600 | $2.95M |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 478 | 447 | $21K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 484 | 464 | $15K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 294 | 281 | $7K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Carolinaeast Medical Center | New Bern, NC | $22.86M |
| Carolinaeast Physicians | Pollocksville, NC | $8.57M |
| Carolinaeast Physicians | New Bern, NC | $4.02M |
| Carolinaeast Physicians | Cape Carteret, NC | $310K |
| Carolinaeast Physicians | New Bern, NC | $294K |
| Carolinaeast Physicians | Havelock, NC | $134K |
| Carolinaeast Physicians | New Bern, NC | $81K |
| Carolinaeast Medical Center | New Bern, NC | $43K |
| Carolinaeast Medical Center | New Bern, NC | $41K |
| Carolinaeast Physicians | Jacksonville, NC | $23K |
| Carolina East Physicians | Vanceboro, NC | $23K |
| Carolinaeast Physicians | Jacksonville, NC | $17K |
| Carolinaeast Physicians | Morehead City, NC | $13K |
| Carolinaeast Physicians | New Bern, NC | $2K |
| Carolinaeast Physicians | New Bern, NC | $845.00 |
| Carolinaeast Physicians | New Bern, NC | $775.79 |
| Carolinaeast Physicians | New Bern, NC | $96.97 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.