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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. North Carolina

North Carolina Medicare Spending

Medicare provider payments and utilization data for North Carolina (NC)

🔎 Data Analysis

North Carolina received $27.9B in total Medicare provider payments across 10 years of data.

The top specialty by spending is Clinical Laboratory, accounting for $318.2M in payments across 104 providers.

In 2023, 40.2K providers were actively billing Medicare in North Carolina.

AI-generated analysis based on Medicare payment data.

⚠️

13 AI-Flagged Providers in North Carolina

Providers in this state flagged by the ML v2 fraud detection model

Miriam FernzInternal Medicine
93.6%
Mohamed OsmanFamily Practice
92.0%
Steven LandauFamily Practice
90.2%
View all ML-flagged providers →
Total Payments (10yr)
$27.9B
-0.6% vs 2022
Active Providers (2023)
40.2K
86.9M services
Top Specialty
Clinical Laboratory
$318.2M total
Specialties
30
$66.9K per provider

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$2.6B91.0M30.6K—
2015$2.8B92.1M31.8K+4.5%
2016$2.8B90.4M33.2K+1.1%
2017$2.9B89.4M34.7K+2.9%
2018$2.9B90.8M35.5K-0.3%
2019$2.9B95.1M36.8K+2.8%
2020$2.7B85.2M37.0K-8.6%
2021$2.9B88.7M38.5K+8.5%
2022$2.7B85.5M39.2K-7.3%
2023$2.7B86.9M40.2K-0.6%

Top Providers in North Carolina

#ProviderSpecialtyPaymentsServices
1Laboratory Corporation Of America HoldingsClinical Laboratory$214.6M16.0M
2Pathgroup Labs, LlcClinical Laboratory$24.8M2.1M
3Quest Diagnostics Clinical Laboratories IncClinical Laboratory$14.6M1.2M
4Mako Medical Laboratories, LlcClinical Laboratory$11.2M1.5M
5Alpha Diagnostics, LlcClinical Laboratory$11.0M279.2K
6Laboratory Corporation Of America HoldingsClinical Laboratory$9.6M108.6K
7County Of WakeAmbulance Service Provider$7.8M160.7K
8Eugene WadeFamily Practice$7.2M275.0K
9Mecklenburg Emergency Medical Services AgencyAmbulance Service Provider$6.7M138.1K
10Radeas LlcClinical Laboratory$6.5M43.2K
11Novant Health New Hanover Regional Medical Center LlcAmbulance Service Provider$6.1M198.6K
12Shil PatelOphthalmology$6.1M44.0K
13Rachel TedescoNurse Practitioner$5.7M254.4K
14James PateOphthalmology$5.2M28.3K
15Orthopaedic Surgery Center Of Asheville, LpAmbulatory Surgical Center$5.1M2.6K
16Justin BrownOphthalmology$5.0M68.0K
17Nitin GuptaOphthalmology$4.7M21.6K
18Cumberland County Hospital System IncAmbulance Service Provider$4.3M120.7K
19Vishak JohnOphthalmology$4.3M60.4K
20William BridgesOphthalmology$4.1M54.1K
21Julia Schaefer-CutilloHematology-Oncology$4.0M383.0K
22Wilmington Eye Surgery Center, LlcAmbulatory Surgical Center$3.9M8.3K
23Raj PatelOphthalmology$3.9M78.3K
24Arghavan AlmonyOphthalmology$3.9M66.2K
25Genova Diagnostics IncClinical Laboratory$3.8M256.7K

Most Billed Procedures in North Carolina

CodeDescriptionPaymentsServicesProviders
99214Established patient office or other outpatient visit, 30-39 minutes$273.0M3.5M18.1K
99213Established patient office or other outpatient visit, 20-29 minutes$116.0M2.1M16.3K
J0178Injection, aflibercept, 1 mg$86.3M125.6K98
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)$55.0M145.5K144
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$46.2M787.8K5.7K
99215Established patient office or other outpatient visit, 40-54 minutes$43.9M392.2K5.7K
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$43.6M366.6K4.2K
66984Removal of cataract with insertion of prosthetic lens$43.1M608.2K584
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$42.8M484.6K4.2K
99204New patient office or other outpatient visit, 45-59 minutes$40.8M389.6K8.4K
99285Emergency department visit with high level of medical decision making$37.3M286.3K2.2K
J2777Injection, faricimab-svoa, 0.1 mg$35.3M1.2M70
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$29.9M237.5K4.6K
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$28.1M404.0K899
J0897Injection, denosumab, 1 mg$27.5M1.5M431
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$27.5M1.6M2.5K
J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)$26.7M798.3K68
A0425Ground mileage, per statute mile$26.2M3.5M180
99291Critical care, first 30-74 minutes$24.5M152.8K2.6K
80053Blood test, comprehensive group of blood chemicals$23.1M2.2M1.4K

Spending by Specialty

SpecialtyPaymentsProvidersAvg per Provider
Clinical Laboratory$318.2M104$3.1M
Ophthalmology$229.6M490$468.7K
Internal Medicine$181.1M2.4K$74.3K
Nurse Practitioner$160.7M6.3K$25.7K
Family Practice$141.0M2.6K$53.3K
Physician Assistant$136.4M5.6K$24.2K
Ambulance Service Provider$133.4M187$713.4K
Ambulatory Surgical Center$105.3M128$822.8K
Diagnostic Radiology$95.0M1.0K$94.8K
Rheumatology$84.7M162$522.8K
Physical Therapist in Private Practice$79.4M2.3K$34.4K
Dermatology$76.6M391$195.9K
Cardiology$76.1M570$133.4K
Orthopedic Surgery$65.6M735$89.3K
Emergency Medicine$52.9M1.4K$37.0K
Hematology-Oncology$48.8M324$150.7K
Mass Immunizer Roster Biller$44.5M1.1K$42.2K
Hospitalist$38.8M882$44.0K
Nephrology$33.8M282$119.8K
Neurology$32.1M467$68.8K
Gastroenterology$30.4M463$65.7K
Urology$29.0M295$98.4K
Radiation Oncology$29.0M158$183.6K
Optometry$28.7M922$31.1K
Physical Medicine and Rehabilitation$26.8M236$113.8K

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.