Carter Clinic, P a
Carter Clinic, P a was paid $19.47M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is G0482, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed — 37% of everything it billed.
RALEIGH, NC 27609
Next to other Clinical Psychologist providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 31,197 | $2.57M | |
| 2019 | 30,945 | $2.67M | |
| 2020 | 33,992 | $2.69M | |
| 2021 | 37,773 | $3.06M | |
| 2022 | 43,780 | $2.98M | |
| 2023 | 43,247 | $2.41M | |
| 2024incomplete | 53,908 | $3.08M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 37% | 51,443 | 31,741 | $7.11M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 24% | 72,035 | 46,116 | $4.63M |
| 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 | 15% | 45,784 | 32,541 | $3.02M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 8.4% | 24,954 | 11,539 | $1.63M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.4% | 36,341 | 27,026 | $1.63M |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 4.3% | 14,099 | 10,509 | $842K |
| H0038 | Self-help/peer services, per 15 minutes | 1.4% | 4,014 | 459 | $275K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 319 | 319 | $104K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 4,580 | 3,387 | $69K |
| 99199 | Unlisted special service, procedure or report | <1% | 10,548 | 7,642 | $64K |
| Q3014 | Telehealth originating site facility fee | <1% | 9,480 | 7,313 | $30K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 284 | 246 | $29K |
11 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 225 | $14K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 90 | $11K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 294 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 103 | $4K |
| 99443 | <1% | 23 | $2K | |
| 99441 | <1% | 55 | $1K | |
| 98968 | <1% | 32 | $814.72 | |
| 99484 | <1% | 29 | $469.99 | |
| 99442 | <1% | 80 | $154.80 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12 | $0.00 |
| H0040 | Assertive community treatment program, per diem | 0% | 18 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Carter Clinic PA | Wilmington, NC | $3.16M |
| Carter Clinic, P a | Lumberton, NC | $3.12M |
| Carter Clinic, PA | Fayetteville, NC | $2.57M |
| Carter Clinic, PA | Red Springs, NC | $1.78M |
| Carter Clinic PA | Smithfield, NC | $1.51M |
| Carter Clinic, P.A. | Wilson, NC | $1.20M |
| Carter Clinic, P a | Elizabethtown, NC | $639K |
| Carter Clinic, P.A. | Shelby, NC | $149K |
| Carter Clinic PA | Laurinburg, NC | $111K |
| Carter Clinic, PA | Whiteville, NC | $63K |
| Carter Clinic, PA | Dunn, NC | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.