Clinic
Carteret Surgical Associates, PA
Carteret Surgical Associates, PA was paid $1.32M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoCARTERET SURGICAL ASSOCIATES, PA
MOREHEAD CITY, NC 28557
MOREHEAD CITY, NC 28557
33aNPI1942242599assigned 06/11/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.32M
24GClaims45,722
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in North Carolina
Rank by total paid#17 of 56
Median peer was paid$409K
This provider vs. median3.2×
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 | |
|---|---|---|---|
| 2018 | 6,233 | $165K | |
| 2019 | 6,575 | $172K | |
| 2020 | 4,965 | $133K | |
| 2021 | 6,267 | $201K | |
| 2022 | 8,503 | $251K | |
| 2023 | 9,688 | $288K | |
| 2024incomplete | 3,491 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 46% | 19,325 | 14,854 | $607K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 3,130 | 2,603 | $186K |
| 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 | 14% | 4,188 | 3,162 | $184K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 4.9% | 2,684 | 1,861 | $65K |
| 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 | 3.8% | 544 | 427 | $50K |
| 76942 | 2.2% | 670 | 407 | $29K | |
| 20550 | 1.9% | 1,838 | 1,147 | $26K | |
| 0240U | 1.7% | 183 | 129 | $22K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.7% | 2,098 | 1,676 | $22K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.5% | 169 | 151 | $20K |
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 1.3% | 1,229 | 751 | $17K |
| 99199 | Unlisted special service, procedure or report | 1.2% | 4,439 | 4,324 | $15K |
32 more codes
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 1.0% | 107 | $13K |
| 20610 | <1% | 410 | $12K | |
| 72275 | <1% | 388 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 645 | $9K |
| 73110 | <1% | 381 | $8K | |
| 20611 | <1% | 249 | $7K | |
| 73130 | <1% | 173 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 192 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 133 | $2K |
| 72110 | <1% | 105 | $2K | |
| 20553 | <1% | 81 | $2K | |
| 62323 | <1% | 19 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 31 | $1K |
| 73610 | <1% | 60 | $1K | |
| 73564 | <1% | 53 | $845.54 | |
| 99441 | <1% | 103 | $601.17 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 685 | $356.90 |
| 73562 | <1% | 37 | $306.62 | |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | <1% | 755 | $296.48 |
| 73030 | <1% | 20 | $233.16 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $218.75 |
| 96127 | <1% | 81 | $182.39 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 55 | $160.90 |
| 36415 | Collection of venous blood by venipuncture | <1% | 117 | $137.70 |
| 81001 | <1% | 57 | $105.57 | |
| 81003 | <1% | 84 | $89.18 | |
| 99406 | <1% | 16 | $86.19 | |
| 51798 | <1% | 12 | $74.16 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 17 | $6.40 |
| 99024 | 0% | 109 | $0.00 | |
| 99000 | 0% | 15 | $0.00 | |
| A4550 | Surgical trays | 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.
From NPPES
Who's on the registration
Authorized officialHIGGINS, JAMIE (CREDENTIALING)