Physician
Carolinaeast Physicians
Carolinaeast Physicians was paid $294K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoCAROLINAEAST PHYSICIANS
NEW BERN, NC 28562
NEW BERN, NC 28562
33aNPI1871894519assigned 11/11/2010
33bProvider typeHospitalist Physician
28Total paid$294K
24GClaims22,398
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hospitalist Physician providers in North Carolina
Rank by total paid#21 of 60
Median peer was paid$63K
This provider vs. median4.7×
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 SHERRON, TAMMY controls 17+ related entities in our dataset. Read more
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 | 1,264 | $37K | |
| 2019 | 823 | $29K | |
| 2020 | 340 | $18K | |
| 2021 | 679 | $24K | |
| 2022 | 2,289 | $52K | |
| 2023 | 6,233 | $69K | |
| 2024incomplete | 10,770 | $65K |
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 | 68% | 3,891 | 3,090 | $200K |
| 99199 | Unlisted special service, procedure or report | 15% | 13,440 | 13,434 | $44K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 861 | 668 | $35K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.7% | 373 | 354 | $5K |
| 87276 | 1.1% | 255 | 237 | $3K | |
| 87275 | 1.1% | 255 | 237 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,464 | 1,189 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 82 | 75 | $630.53 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 199 | 176 | $557.61 |
| 90686 | <1% | 51 | 27 | $356.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | 14 | $159.60 |
| 81001 | <1% | 25 | 25 | $97.75 |
7 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 officialSHERRON, TAMMY (VP FINANCE/CFO)
| Provider | Location | Paid |
|---|---|---|
| Carolinaeast Medical Center | New Bern, NC | $22.86M |
| Carolinaeast Physicians | Pollocksville, NC | $8.57M |
| Carolinaeast Physicians | New Bern, NC | $4.02M |
| Carolinaeast Medical Center | New Bern, NC | $2.99M |
| Carolinaeast Physicians | Cape Carteret, NC | $310K |
| Carolinaeast Physicians | Havelock, NC | $134K |
| Carolinaeast Physicians | New Bern, NC | $81K |
| Carolinaeast Medical Center | New Bern, NC | $43K |
| Carolinaeast Medical Center | New Bern, NC | $41K |
| Carolinaeast Physicians | Jacksonville, NC | $23K |
| Carolina East Physicians | Vanceboro, NC | $23K |
| Carolinaeast Physicians | Jacksonville, NC | $17K |
| Carolinaeast Physicians | Morehead City, NC | $13K |
| Carolinaeast Physicians | New Bern, NC | $2K |
| Carolinaeast Physicians | New Bern, NC | $845.00 |
| Carolinaeast Physicians | New Bern, NC | $775.79 |
| Carolinaeast Physicians | New Bern, NC | $96.97 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.