Physician
Carolinas Physicians Network, INC
Carolinas Physicians Network, INC was paid $3.04M by Medicaid between Mar 2020 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 84% of everything it billed.
33Billing provider infoCAROLINAS PHYSICIANS NETWORK, INC
CHARLOTTE, NC 28217
CHARLOTTE, NC 28217
33aNPI1578939914assigned 08/20/2015
33bProvider typeFamily Medicine Physician
28Total paid$3.04M
24GClaims69,655
24DCodes billed20
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#35 of 960
Median peer was paid$135K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2020 | 360 | $7K | |
| 2021 | 2,698 | $112K | |
| 2022 | 6,880 | $308K | |
| 2023 | 16,266 | $727K | |
| 2024incomplete | 43,451 | $1.89M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 84% | 52,690 | 46,129 | $2.55M |
| 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 | 7.7% | 3,216 | 2,822 | $235K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 1,373 | 1,273 | $101K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.2% | 6,042 | 5,139 | $67K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 2,000 | 1,641 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 703 | 580 | $21K |
| 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 | <1% | 83 | 77 | $8K |
| 99421 | <1% | 346 | 243 | $5K | |
| 99422 | <1% | 210 | 176 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 63 | 54 | $3K |
| 99423 | <1% | 36 | 27 | $548.92 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 212 | 183 | $490.16 |
8 more codes
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 officialWIENS, DANIEL (SVP/OPERATIONS CHS)
Parent organizationCAROLINAS PHYSICIANS NETWORK, INC
| Provider | Location | Paid |
|---|---|---|
| Carolinas Physicians Network INC | Pageland, SC | $40K |
| Piedmont Gynecological and Obstetrical Associates | Fort Mill, SC | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.