Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINAS PHYSICIANS NETWORK INC

NPI: 1912262593 · CHINA GROVE, NC 28023 · Sports Medicine (Family Medicine) Physician · NPI assigned 07/10/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LAYMON, THOMAS controls 20+ related entities in our dataset. Read more

$857K
Total Medicaid Paid
73,810
Total Claims
49,425
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent OrganizationCAROLINAS PHYSICIANS NETWORK INC
NPI Enumeration Date07/10/2012

Related Entities

Other providers sharing the same authorized official: LAYMON, THOMAS

ProviderCityStateTotal Paid
CAROLINAS MEDICAL CENTER CHARLOTTE NC $17.00M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $11.74M
CAROLINAS MEDICAL CENTER CHARLOTTE NC $2.17M
SOUTH LAKE PEDIATRICS CHARLOTTE NC $1.93M
LINCOLN FAMILY PRACTICE LINCOLNTON NC $1.31M
COX ROAD URGENT CARE GASTONIA NC $1.14M
CAROLINAS PHYSICIANS NETWORK INC LINCOLNTON NC $1.11M
CAROLINAS PHYSICIANS NETWORK INC CHARLOTTE NC $225K
CAROLINAS MEDICAL CENTER CHARLOTTE NC $198K
UNIVERSITY PEDIATRICS MINT HILL NC $191K
CAROLINAS-ANSON HEALTHCARE INC. WADESBORO NC $124K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY MONROE NC $124K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $68K
CAROLINAS PHYSICIANS NETWORK, INC. FOREST CITY NC $27K
CAROLINAS PHYSICIANS NETWORK, INC. BESSEMER CITY NC $19K
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY LINCOLNTON NC $13K
CAROLINAS PHYSICIANS NETWORK INC FOREST CITY NC $11K
CAROLINAS PHYSICIANS NETWORK INC INDIAN TRAIL NC $10K
CAROLINAS PHYSICIANS NETWORK INC RUTHERFORDTON NC $9K
MECKLENBURG MEDICAL GROUP CHARLOTTE NC $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,265 $62K
2019 1,920 $78K
2020 813 $33K
2021 4,882 $99K
2022 12,575 $154K
2023 18,442 $171K
2024 31,913 $261K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99199 Unlisted special service, procedure or report 53,037 32,856 $294K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,064 3,846 $278K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,040 4,616 $272K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 358 325 $6K
36415 Collection of venous blood by venipuncture 1,131 717 $1K
90686 221 198 $1K
0002A 18 17 $1K
99441 64 51 $1K
99442 39 24 $990.42
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) 218 196 $525.39
99422 21 12 $435.52
96127 33 14 $51.00
3044F 353 328 $20.00
3074F 1,458 1,221 $0.00
3079F 262 224 $0.00
3008F 453 419 $0.00
3075F 12 12 $0.00
1159F 2,479 2,097 $0.00
3078F 1,030 885 $0.00
1160F 1,519 1,367 $0.00