Medicaid Provider Spending

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

CAROLINA FAMILY CLINIC PA

NPI: 1780109603 · LAURINBURG, NC 28352 · Family Medicine Physician · NPI assigned 08/11/2017

$403K
Total Medicaid Paid
35,054
Total Claims
21,942
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBALLEW, ALLEN (OWNER)
NPI Enumeration Date08/11/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 691 $10K
2019 911 $29K
2020 797 $33K
2021 3,101 $52K
2022 6,460 $76K
2023 8,759 $86K
2024 14,335 $117K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,144 3,416 $196K
99199 Unlisted special service, procedure or report 23,429 13,732 $148K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,985 1,391 $58K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 103 37 $862.97
99406 19 17 $122.06
99309 Subsequent nursing facility care, per day, low to moderate complexity 43 32 $66.48
90756 25 12 $39.90
83036 Hemoglobin; glycosylated (A1C) 13 13 $26.25
36415 Collection of venous blood by venipuncture 15 14 $24.30
3074F 550 409 $0.02
3078F 571 412 $0.01
3075F 28 26 $0.01
3077F 247 204 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,309 1,742 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 94 88 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 18 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 22 22 $0.00
1000F 34 31 $0.00
3080F 127 107 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 115 83 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 14 12 $0.00
3079F 149 129 $0.00