Physician
Carolina Family Clinic PA
Carolina Family Clinic PA was paid $403K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoCAROLINA FAMILY CLINIC PA
LAURINBURG, NC 28352
LAURINBURG, NC 28352
33aNPI1780109603assigned 08/11/2017
33bProvider typeFamily Medicine Physician
28Total paid$403K
24GClaims35,054
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in North Carolina
Rank by total paid#310 of 960
Median peer was paid$135K
This provider vs. median3.0×
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 | 691 | $10K | |
| 2019 | 911 | $29K | |
| 2020 | 797 | $33K | |
| 2021 | 3,101 | $52K | |
| 2022 | 6,460 | $76K | |
| 2023 | 8,759 | $86K | |
| 2024incomplete | 14,335 | $117K |
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 | 49% | 5,144 | 3,416 | $196K |
| 99199 | Unlisted special service, procedure or report | 37% | 23,429 | 13,732 | $148K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,985 | 1,391 | $58K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 103 | 37 | $862.97 |
| 99406 | <1% | 19 | 17 | $122.06 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 43 | 32 | $66.48 |
| 90756 | <1% | 25 | 12 | $39.90 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 13 | 13 | $26.25 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | 14 | $24.30 |
| 3074F | <1% | 550 | 409 | $0.02 | |
| 3078F | <1% | 571 | 412 | $0.01 | |
| 3075F | <1% | 28 | 26 | $0.01 |
10 more codes
| 3077F | 0% | 247 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,309 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 94 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 18 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 22 | $0.00 |
| 1000F | 0% | 34 | $0.00 | |
| 3080F | 0% | 127 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 115 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | $0.00 |
| 3079F | 0% | 149 | $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 officialBALLEW, ALLEN (OWNER)