Carolina Craniospinal Neurosurgery, LLC

Carolina Craniospinal Neurosurgery, LLC was paid $15K by Medicaid between Jan 2018 and May 2024, across 4 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 61% of everything it billed.

33Billing provider infoCAROLINA CRANIOSPINAL NEUROSURGERY, LLC
NEW BERN, NC 28560

33aNPI1831142553assigned 05/17/2006

33bProvider typeNeurological Surgery Physician

28Total paid$15K

24GClaims1,117

24DCodes billed4

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Neurological Surgery Physician providers in North Carolina

Rank by total paid#9 of 22

Median peer was paid$6K

This provider vs. median2.6×

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	430	$5K
2019	333	$3K
2020	192	$5K
2021	36	$500.82
2022	71	$467.55
2023	19	$144.51
2024incomplete	36	$468.48

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	61%	907	601	$9K
22853		18%	41	12	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	146	105	$3K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.6%	23	15	$382.00

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 officialNORTON, LISA (OFFICE MANAGER)