Carolinas Physicians Network INC
Carolinas Physicians Network INC was paid $11K by Medicaid between Jan 2018 and Jan 2024, across 5 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 51% of everything it billed.
FOREST CITY, NC 28043
Next to other Internal Medicine Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 147 | $6K | |
| 2021 | 150 | $1K | |
| 2022 | 490 | $2K | |
| 2023 | 786 | $2K | |
| 2024incomplete | 107 | $539.92 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 51% | 1,533 | 1,459 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 109 | 102 | $4K |
| 43235 | 5.7% | 13 | 12 | $648.38 | |
| 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 | 4.5% | 12 | 12 | $511.03 |
| 94060 | 3.4% | 13 | 12 | $391.65 |
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.
Who's on the registration
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.