Carolina Medical Clinic PC

Carolina Medical Clinic PC was paid $4.06M by Medicaid between Apr 2021 and Mar 2023, across 2 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 100% of everything it billed.

33Billing provider infoCAROLINA MEDICAL CLINIC PC
CONCORD, NC 28025

33aNPI1891796439assigned 08/04/2005

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$4.06M

24GClaims513,532

24DCodes billed2

24AFirst – last monthApr 2021 – Mar 2023

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in North Carolina

Rank by total paid#27 of 780

Median peer was paid$5K

This provider vs. median822×

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.

Single-Code Concentration100% of spending on code 99199 with only 2 total codes billed. Highly concentrated billing profile.

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
2021	123,370	$1.05M
2022	302,455	$2.36M
2023	87,707	$650K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99199	Unlisted special service, procedure or report	100%	513,505	469,157	$4.06M
0011A		<1%	27	17	$827.64

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 officialCHARANIA, AMIN (DIRECTOR)