Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1629206651 · FOREST CITY, NC 28043 · Internal Medicine Physician · NPI assigned 06/29/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more

$11K
Total Medicaid Paid
1,680
Total Claims
1,597
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-01
Last Month

Provider Details

Authorized OfficialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date06/29/2009

Related Entities

Other providers sharing the same authorized official: LAYMON, THOMAS

ProviderCityStateTotal Paid
CAROLINAS MEDICAL CENTER CHARLOTTE NC $17.00M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $11.74M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $2.17M
SOUTH LAKE PEDIATRICS CHARLOTTE NC $1.93M
LINCOLN FAMILY PRACTICE LINCOLNTON NC $1.31M
COX ROAD URGENT CARE GASTONIA NC $1.14M
CAROLINAS PHYSICIANS NETWORK INC LINCOLNTON NC $1.11M
CAROLINAS PHYSICIANS NETWORK INC CHINA GROVE NC $857K
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $225K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $198K
UNIVERSITY PEDIATRICS MINT HILL NC $191K
CAROLINAS-ANSON HEALTHCARE INC. WADESBORO NC $124K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $124K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $68K
CAROLINAS PHYSICIANS NETWORK, INC. FOREST CITY NC $27K
CAROLINAS PHYSICIANS NETWORK, INC. BESSEMER CITY NC $19K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY LINCOLNTON NC $13K
CAROLINAS PHYSICIANS NETWORK INC INDIAN TRAIL NC $10K
CAROLINAS PHYSICIANS NETWORK INC RUTHERFORDTON NC $9K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 147 $6K
2021 150 $1K
2022 490 $2K
2023 786 $2K
2024 107 $539.92

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 1,533 1,459 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 109 102 $4K
43235 13 12 $648.38
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12 12 $511.03
94060 13 12 $391.65