Carolina Kidney and Vascular, PA
Carolina Kidney and Vascular, PA was paid $446K by Medicaid between Jan 2018 and Apr 2023, across 17 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 64% of everything it billed.
33Billing provider infoCAROLINA KIDNEY AND VASCULAR, PA
GOLDSBORO, NC 27534
GOLDSBORO, NC 27534
33aNPI1861557068assigned 12/27/2006
33bProvider typeSpecialist
28Total paid$446K
24GClaims10,855
24DCodes billed17
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#52 of 172
Median peer was paid$83K
This provider vs. median5.4×
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 | 3,481 | $104K | |
| 2019 | 2,056 | $81K | |
| 2020 | 1,904 | $78K | |
| 2021 | 1,442 | $66K | |
| 2022 | 1,567 | $92K | |
| 2023 | 405 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 64% | 5,170 | 4,836 | $285K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 1,809 | 623 | $50K |
| 90961 | 9.3% | 762 | 726 | $42K | |
| 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 | 8.3% | 832 | 775 | $37K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.4% | 423 | 209 | $19K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 1.3% | 501 | 237 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 47 | 42 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 44 | 42 | $1K |
| 99223 | Prolong inpt eval add15 m | <1% | 44 | 41 | $868.62 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 46 | 43 | $818.64 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 523 | 447 | $747.25 |
| 36902 | <1% | 16 | 13 | $711.07 |
5 more codes
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 officialDUNMIRE, ROBERT (PRESIDENT)