Medicaid Provider Spending

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

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1679732176 · LINCOLNTON, NC 28092 · Family Medicine Physician · NPI assigned 06/09/2008

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

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

$1.11M
Total Medicaid Paid
77,436
Total Claims
56,538
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date06/09/2008

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 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 FOREST CITY NC $11K
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 3,240 $115K
2019 2,629 $134K
2020 1,591 $85K
2021 7,212 $163K
2022 16,299 $220K
2023 21,199 $183K
2024 25,266 $206K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,482 9,776 $724K
99199 Unlisted special service, procedure or report 52,777 35,326 $281K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,446 1,183 $68K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 774 658 $12K
99215 Prolong outpt/office vis 107 97 $9K
90686 435 377 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 163 142 $2K
36415 Collection of venous blood by venipuncture 1,147 962 $2K
99441 74 66 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 227 193 $1K
99442 24 21 $873.42
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 14 13 $661.72
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 43 40 $494.55
83036 Hemoglobin; glycosylated (A1C) 74 65 $344.33
81003 146 122 $265.38
96110 Developmental screening, with scoring and documentation, per standardized instrument 16 14 $124.74
99406 13 12 $74.99
3074F 1,863 1,642 $0.00
3079F 57 49 $0.00
3008F 635 581 $0.00
3075F 31 25 $0.00
3044F 13 12 $0.00
1160F 1,407 1,288 $0.00
1159F 2,612 2,263 $0.00
3078F 1,841 1,598 $0.00
3077F 15 13 $0.00