Physician
Carteret Medical Group LLC
Carteret Medical Group LLC was paid $725K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoCARTERET MEDICAL GROUP LLC
MOREHEAD CITY, NC 28557
MOREHEAD CITY, NC 28557
33aNPI1700164464assigned 07/29/2011
33bProvider typeNeurology Physician
28Total paid$725K
24GClaims72,186
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Neurology Physician providers in North Carolina
Rank by total paid#8 of 86
Median peer was paid$55K
This provider vs. median13×
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 | 2,393 | $44K | |
| 2019 | 1,809 | $55K | |
| 2020 | 2,475 | $66K | |
| 2021 | 8,205 | $111K | |
| 2022 | 13,811 | $127K | |
| 2023 | 17,073 | $126K | |
| 2024incomplete | 26,420 | $196K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 62% | 12,054 | 8,259 | $448K |
| 99199 | Unlisted special service, procedure or report | 31% | 37,615 | 23,130 | $227K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 849 | 577 | $21K |
| 83036 | Hemoglobin; glycosylated (A1C) | 1.0% | 1,868 | 1,363 | $8K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 26 | 19 | $5K |
| 95251 | <1% | 270 | 211 | $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 | <1% | 34 | 25 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 38 | 28 | $2K |
| 80053 | Comprehensive metabolic panel | <1% | 176 | 158 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 89 | 70 | $1K |
| 80061 | Lipid panel | <1% | 105 | 94 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 128 | 113 | $962.30 |
21 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 778 | $832.26 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $818.67 |
| 82962 | <1% | 836 | $625.97 | |
| 90674 | <1% | 28 | $370.76 | |
| 84439 | <1% | 41 | $331.74 | |
| 1126F | 0% | 172 | $0.00 | |
| 3008F | 0% | 4,734 | $0.00 | |
| 1036F | 0% | 2,400 | $0.00 | |
| 3074F | 0% | 1,321 | $0.00 | |
| 1125F | 0% | 122 | $0.00 | |
| 3044F | 0% | 18 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 19 | $0.00 |
| 1034F | 0% | 16 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 3079F | 0% | 13 | $0.00 | |
| 3078F | 0% | 1,735 | $0.00 | |
| 1160F | 0% | 3,741 | $0.00 | |
| 1159F | 0% | 1,445 | $0.00 | |
| 3045F | 0% | 21 | $0.00 | |
| 3725F | 0% | 1,443 | $0.00 | |
| 3077F | 0% | 13 | $0.00 |
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 officialKING, JOANIE (CFO)
| Provider | Location | Paid |
|---|---|---|
| Carteret County General Hospital Corporation | Morehead City, NC | $4.57M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.