Physician
Carolina Sports and Spine
Carolina Sports and Spine was paid $36K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoCAROLINA SPORTS AND SPINE
ROCKY MOUNT, NC 27804
ROCKY MOUNT, NC 27804
33aNPI1881927648assigned 09/11/2009
33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician
28Total paid$36K
24GClaims8,402
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in North Carolina
Rank by total paid#9 of 12
Median peer was paid$57K
This provider vs. median0.6×
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 | 1,869 | $6K | |
| 2019 | 1,645 | $3K | |
| 2020 | 1,375 | $8K | |
| 2021 | 1,195 | $6K | |
| 2022 | 1,085 | $5K | |
| 2023 | 944 | $4K | |
| 2024incomplete | 289 | $4K |
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 | 50% | 3,967 | 3,024 | $18K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 3,381 | 2,218 | $16K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 5.2% | 1,054 | 763 | $2K |
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 officialANTONY, ALVIN (PRESIDENT/SECRETARY)