Supplier
Carlie CS of Memorial Drive LLC
Carlie CS of Memorial Drive LLC was paid $439.46 by Medicaid between Oct 2019 and Oct 2019, across 2 billing codes. Its largest line is 90686, — 58% of everything it billed.
33Billing provider infoCARLIE CS OF MEMORIAL DRIVE LLC
GOLDSBORO, NC 27534
GOLDSBORO, NC 27534
33aNPI1891940060assigned 12/01/2008
33bProvider typeCommunity/Retail Pharmacy
28Total paid$439.46
24GClaims29
24DCodes billed2
24AFirst – last monthOct 2019 – Oct 2019
Compared with peers
Next to other Community/Retail Pharmacy providers in North Carolina
Rank by total paid#217 of 283
Median peer was paid$2K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 29 | $439.46 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 58% | 14 | 14 | $253.26 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 42% | 15 | 14 | $186.20 |
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 officialARNOLD, REBECCA (PHARMACY MANAGER)