Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carolinas Physicians Network INC

Carolinas Physicians Network INC was paid $225K by Medicaid between Jan 2018 and Oct 2021, across 14 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 67% of everything it billed.

33Billing provider infoCAROLINAS PHYSICIANS NETWORK INC
CHARLOTTE, NC 28207
33aNPI1669797189assigned 03/29/2010
28Total paid$225K
24GClaims8,064
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Clinical Cardiac Electrophysiology Physician providers in North Carolina

Rank by total paid#4 of 11
Median peer was paid$40K
This provider vs. median5.7×

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.

Entity ProliferationAuthorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20182,703$62K
20193,113$101K
20201,715$49K
2021533$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 67% 3,659 3,502 $150K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.9% 562 544 $18K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.2% 517 179 $16K
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 7.0% 417 392 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 5.5% 480 447 $12K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.8% 1,346 1,141 $4K
93016 1.5% 407 384 $3K
93018 1.1% 417 394 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 73 24 $2K
99442 <1% 28 25 $693.96
99199 Unlisted special service, procedure or report <1% 113 113 $585.00
93308 <1% 15 15 $168.23
2 more codes
93321 <1% 15 $52.07
93325 <1% 15 $25.48

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 officialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent organizationCAROLINAS PHYSICIANS NETWORK INC
Same official

Other billing entities under LAYMON, THOMAS

Full network →
ProviderLocationPaid
Carolinas Medical CenterCharlotte, NC$17.00M
Carolinas Medical CenterCharlotte, NC$11.74M
Carolinas Medical CenterCharlotte, NC$2.17M
South Lake PediatricsCharlotte, NC$1.93M
Lincoln Family PracticeLincolnton, NC$1.31M
Cox Road Urgent CareGastonia, NC$1.14M
Carolinas Physicians Network INCLincolnton, NC$1.11M
Carolinas Physicians Network INCChina Grove, NC$857K
Carolinas Medical CenterCharlotte, NC$198K
University PediatricsMint Hill, NC$191K
Carolinas-Anson Healthcare INC.Wadesboro, NC$124K
The Charlotte-Mecklenburg Hospital AuthorityMonroe, NC$124K
Mecklenburg Medical GroupCharlotte, NC$68K
Carolinas Physicians Network, INC.Forest City, NC$27K
Carolinas Physicians Network, INC.Bessemer City, NC$19K
The Charlotte-Mecklenburg Hospital AuthorityLincolnton, NC$13K
Carolinas Physicians Network INCForest City, NC$11K
Carolinas Physicians Network INCIndian Trail, NC$10K
Carolinas Physicians Network INCRutherfordton, NC$9K
Mecklenburg Medical GroupCharlotte, NC$9K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.