Carolina Hand and Sports Medicine, P.A.

Carolina Hand and Sports Medicine, P.A. was paid $19K by Medicaid between Mar 2018 and Aug 2024, across 8 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 43% of everything it billed.

33Billing provider infoCAROLINA HAND AND SPORTS MEDICINE, P.A.
ASHEVILLE, NC 28803

33aNPI1689778300assigned 09/12/2006

33bProvider typeOrthopaedic Hand Surgery Physician

28Total paid$19K

24GClaims489

24DCodes billed8

24AFirst – last monthMar 2018 – Aug 2024

Compared with peers

Next to other Orthopaedic Hand Surgery Physician providers in North Carolina

Rank by total paid#5 of 7

Median peer was paid$23K

This provider vs. median0.8×

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	98	$3K
2019	39	$1K
2020	55	$3K
2021	14	$383.79
2022	48	$2K
2023	55	$3K
2024incomplete	180	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	43%	147	122	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	147	118	$4K
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	15%	33	26	$3K
73130		8.8%	86	59	$2K
95886		6.0%	28	28	$1K
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	5.5%	18	14	$1K
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	13	12	$166.18
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	17	13	$6.77

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 officialCOOLEY, SHELLEY (OPERATIONS SUPERVISOR)