Physician
Carolina Urology Healthcare, PLLC
Carolina Urology Healthcare, PLLC was paid $196K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoCAROLINA UROLOGY HEALTHCARE, PLLC
CLINTON, NC 28328
CLINTON, NC 28328
33aNPI1598997371assigned 08/13/2009
33bProvider typeUrology Physician
28Total paid$196K
24GClaims28,307
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urology Physician providers in North Carolina
Rank by total paid#5 of 69
Median peer was paid$15K
This provider vs. median14×
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 | 6,287 | $39K | |
| 2019 | 6,068 | $25K | |
| 2020 | 4,717 | $26K | |
| 2021 | 3,542 | $26K | |
| 2022 | 3,032 | $22K | |
| 2023 | 2,533 | $27K | |
| 2024incomplete | 2,128 | $31K |
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 | 43% | 3,498 | 2,484 | $85K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 2,504 | 1,724 | $39K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 1,024 | 649 | $28K |
| 82570 | 6.1% | 5,153 | 4,081 | $12K | |
| 51798 | 5.5% | 2,158 | 1,512 | $11K | |
| 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% | 81 | 63 | $5K |
| 84153 | 2.6% | 1,109 | 964 | $5K | |
| 52000 | 2.5% | 145 | 77 | $5K | |
| 81003 | 2.4% | 5,152 | 4,078 | $5K | |
| 51741 | <1% | 162 | 90 | $845.24 | |
| 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% | 17 | 12 | $636.50 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 37 | 24 | $252.69 |
14 more codes
| 1036F | 0% | 1,817 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 305 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 419 | $0.00 |
| A4322 | Irrigation syringe, bulb or piston, each | 0% | 50 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,187 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 105 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 952 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 332 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 559 | $0.00 |
| 4004F | 0% | 125 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 335 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 56 | $0.00 |
| A4402 | Lubricant, per ounce | 0% | 13 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 12 | $0.00 |
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 officialREAGAN, ROBERT (OWNER/MANAGER)