Physician
Carolina Regional Orthopaedics, PA
Carolina Regional Orthopaedics, PA was paid $1.26M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoCAROLINA REGIONAL ORTHOPAEDICS, PA
ROCKY MOUNT, NC 27804
ROCKY MOUNT, NC 27804
33aNPI1629018163assigned 06/06/2006
33bProvider typeInterventional Pain Medicine Physician
28Total paid$1.26M
24GClaims55,434
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Interventional Pain Medicine Physician providers in North Carolina
Rank by total paid#1 of 16
Median peer was paid$23K
This provider vs. median56×
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 | 8,183 | $181K | |
| 2019 | 7,704 | $178K | |
| 2020 | 6,378 | $134K | |
| 2021 | 4,956 | $112K | |
| 2022 | 6,782 | $135K | |
| 2023 | 9,226 | $202K | |
| 2024incomplete | 12,205 | $323K |
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 | 33% | 14,163 | 11,863 | $423K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 17,423 | 14,664 | $375K |
| 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 | 8.5% | 1,294 | 1,114 | $107K |
| 62323 | 7.5% | 1,399 | 1,096 | $95K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6.5% | 1,874 | 1,673 | $83K |
| 20610 | 3.7% | 1,901 | 1,502 | $47K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.7% | 4,146 | 3,120 | $22K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 315 | 272 | $18K |
| 64493 | 1.1% | 338 | 253 | $14K | |
| 20611 | <1% | 546 | 448 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 693 | 556 | $9K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 3,253 | 2,661 | $8K |
27 more codes
| 95886 | <1% | 169 | $8K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,138 | $7K |
| 99458 | <1% | 52 | $5K | |
| 95911 | <1% | 45 | $5K | |
| 64445 | <1% | 101 | $4K | |
| 64494 | <1% | 245 | $4K | |
| 20553 | <1% | 333 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $2K |
| 99457 | <1% | 58 | $2K | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 2,676 | $1K |
| 96127 | <1% | 748 | $1K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 156 | $1K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 242 | $1K |
| 80305 | <1% | 224 | $1K | |
| 73564 | <1% | 57 | $1K | |
| 73560 | <1% | 67 | $906.83 | |
| 20526 | <1% | 14 | $532.26 | |
| 99454 | <1% | 12 | $524.33 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,140 | $522.79 |
| 72110 | <1% | 15 | $318.07 | |
| 99453 | <1% | 19 | $237.73 | |
| 73562 | <1% | 21 | $210.89 | |
| 72100 | <1% | 12 | $203.77 | |
| 72170 | <1% | 15 | $102.92 | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 183 | $32.57 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 78 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 223 | $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 officialWALKER, BLAIR (ADMINISTATIVE ASSISTANT)