NP / PA
Carolina Orthopaedic and Neurosurgical Associates
Carolina Orthopaedic and Neurosurgical Associates was paid $925K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoCAROLINA ORTHOPAEDIC AND NEUROSURGICAL ASSOCIATES
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
33aNPI1568454056assigned 08/19/2005
33bProvider typeSurgical Physician Assistant
28Total paid$925K
24GClaims36,938
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgical Physician Assistant providers in South Carolina
Rank by total paid#1 of 7
Median peer was paid$11K
This provider vs. median84×
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 | 2,338 | $39K | |
| 2019 | 3,209 | $67K | |
| 2020 | 4,244 | $89K | |
| 2021 | 6,009 | $154K | |
| 2022 | 6,702 | $184K | |
| 2023 | 7,031 | $202K | |
| 2024incomplete | 7,405 | $190K |
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 | 56% | 15,209 | 14,137 | $514K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 7,985 | 7,574 | $223K |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 5.4% | 900 | 764 | $50K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 5.0% | 1,266 | 1,076 | $47K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.8% | 356 | 343 | $26K |
| 73630 | 1.6% | 1,132 | 929 | $15K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 169 | 161 | $9K |
| A4550 | Surgical trays | <1% | 3,233 | 2,894 | $8K |
| 73610 | <1% | 540 | 476 | $8K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 1,075 | 937 | $5K |
| 73130 | <1% | 213 | 155 | $3K | |
| 20610 | <1% | 265 | 189 | $3K |
20 more codes
| 72100 | <1% | 218 | $3K | |
| 62323 | <1% | 26 | $2K | |
| 72082 | <1% | 44 | $1K | |
| 64483 | <1% | 38 | $1K | |
| 73560 | <1% | 78 | $1K | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 2,529 | $659.96 |
| 73110 | <1% | 30 | $611.97 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 154 | $531.70 |
| 73562 | <1% | 31 | $510.30 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,023 | $505.96 |
| 73030 | <1% | 28 | $327.32 | |
| 73565 | <1% | 13 | $294.49 | |
| 72110 | <1% | 14 | $257.61 | |
| 73010 | <1% | 14 | $221.51 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 197 | $194.29 |
| 72040 | <1% | 17 | $148.22 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 98 | $114.05 |
| 72020 | <1% | 13 | $74.88 | |
| 72080 | <1% | 15 | $43.34 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $15.19 |
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 officialWALCHER, KAREN (OFFICE MANAGER)