Physician
Carolina Gastroenterology Specialists PLLC
Carolina Gastroenterology Specialists PLLC was paid $44K by Medicaid between Jan 2018 and May 2022, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.
33Billing provider infoCAROLINA GASTROENTEROLOGY SPECIALISTS PLLC
WILSON, NC 27896
WILSON, NC 27896
33aNPI1962523050assigned 04/03/2007
33bProvider typeGastroenterology Physician
28Total paid$44K
24GClaims5,579
24DCodes billed6
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Gastroenterology Physician providers in North Carolina
Rank by total paid#33 of 64
Median peer was paid$44K
This provider vs. median1.0×
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 | 2,129 | $16K | |
| 2019 | 1,672 | $17K | |
| 2020 | 900 | $4K | |
| 2021 | 840 | $6K | |
| 2022 | 38 | $101.76 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 97% | 1,489 | 956 | $42K |
| 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 | 3.4% | 40 | 25 | $2K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 1,086 | 685 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,343 | 1,516 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 84 | 62 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 537 | 360 | $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 officialLAKSHMAN, VENKATESH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Legacy Physiatry Group LLC | Plano, TX | $617K |
| Carolina Gastroenterology Specialists PLLC | Wilson, NC | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.