Carolina Orthopedic and Sports Medicine INC
Carolina Orthopedic and Sports Medicine INC was paid $478K by Medicaid between Jan 2018 and Dec 2022, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoCAROLINA ORTHOPEDIC AND SPORTS MEDICINE INC
NEW BERN, NC 28562
NEW BERN, NC 28562
33aNPI1962603951assigned 05/29/2007
33bProvider typePhysical Therapist
28Total paid$478K
24GClaims15,374
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Physical Therapist providers in North Carolina
Rank by total paid#40 of 136
Median peer was paid$76K
This provider vs. median6.3×
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 | 2,390 | $78K | |
| 2019 | 3,243 | $103K | |
| 2020 | 3,046 | $89K | |
| 2021 | 3,058 | $107K | |
| 2022 | 3,637 | $102K |
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 | 34% | 3,669 | 2,848 | $163K |
| 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% | 4,802 | 3,802 | $151K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 1,413 | 1,103 | $70K |
| 20610 | 7.3% | 1,210 | 889 | $35K | |
| 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 | 3.9% | 180 | 171 | $19K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.0% | 906 | 254 | $14K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.8% | 976 | 279 | $14K |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1.2% | 1,405 | 1,102 | $6K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 241 | 196 | $2K |
| 20553 | <1% | 115 | 72 | $2K | |
| 95886 | <1% | 15 | 12 | $742.05 | |
| 73562 | <1% | 50 | 48 | $722.36 |
6 more codes
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 71 | $562.47 |
| 73564 | <1% | 15 | $332.97 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 44 | $329.62 |
| 73110 | <1% | 14 | $299.58 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 225 | $73.33 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 23 | $44.80 |
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 officialGARRETT, DAWN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Grace Counseling Services, LLC | Alamogordo, NM | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.