Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carolina Healthcare Associates INC

Carolina Healthcare Associates INC was paid $94K by Medicaid between Jan 2018 and Oct 2021, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoCAROLINA HEALTHCARE ASSOCIATES INC
WILMINGTON, NC 28401
33aNPI1861701013assigned 10/05/2010
28Total paid$94K
24GClaims4,568
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Internal Medicine Physician providers in North Carolina

Rank by total paid#291 of 616
Median peer was paid$74K
This provider vs. median1.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GOODWIN, DANIEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
20181,440$25K
20191,465$35K
2020933$22K
2021730$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 48% 1,203 1,057 $45K
74018 22% 1,457 1,413 $20K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.3% 293 234 $9K
70360 5.4% 381 375 $5K
71046 Radiologic examination, chest; 2 views 5.1% 345 340 $5K
77072 4.4% 417 396 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.0% 45 44 $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 1.1% 16 14 $991.65
86780 <1% 39 38 $663.78
36415 Collection of venous blood by venipuncture <1% 164 141 $387.44
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 27 27 $367.38
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 14 14 $130.78
6 more codes
99199 Unlisted special service, procedure or report <1% 16 $115.00
85027 <1% 12 $95.76
3078F 0% 65 $0.00
3074F 0% 47 $0.00
3079F 0% 13 $0.00
3075F 0% 14 $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 officialGOODWIN, DANIEL (VICE-PRESIDENT)
Parent organizationCAROLINA HEALTHCARE ASSOCIATES INC
Same official

Other billing entities under GOODWIN, DANIEL

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.