Physician
Carolinas Physicians Network INC
Carolinas Physicians Network INC was paid $857K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 34% of everything it billed.
33Billing provider infoCAROLINAS PHYSICIANS NETWORK INC
CHINA GROVE, NC 28023
CHINA GROVE, NC 28023
33aNPI1912262593assigned 07/10/2012
33bProvider typeSports Medicine (Family Medicine) Physician
28Total paid$857K
24GClaims73,810
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Sports Medicine (Family Medicine) Physician providers in North Carolina
Rank by total paid#7 of 25
Median peer was paid$326K
This provider vs. median2.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LAYMON, THOMAS controls 20+ 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 | 3,265 | $62K | |
| 2019 | 1,920 | $78K | |
| 2020 | 813 | $33K | |
| 2021 | 4,882 | $99K | |
| 2022 | 12,575 | $154K | |
| 2023 | 18,442 | $171K | |
| 2024incomplete | 31,913 | $261K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 34% | 53,037 | 32,856 | $294K |
| 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 | 32% | 5,064 | 3,846 | $278K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 6,040 | 4,616 | $272K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 358 | 325 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,131 | 717 | $1K |
| 90686 | <1% | 221 | 198 | $1K | |
| 0002A | <1% | 18 | 17 | $1K | |
| 99441 | <1% | 64 | 51 | $1K | |
| 99442 | <1% | 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) | <1% | 218 | 196 | $525.39 |
| 99422 | <1% | 21 | 12 | $435.52 | |
| 96127 | <1% | 33 | 14 | $51.00 |
8 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 officialLAYMON, THOMAS (SENIOR VICE PRESIDENT)
Parent organizationCAROLINAS PHYSICIANS NETWORK INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.