PAUL TOBIN, MD
NPI 1295816106, individual, Chapel Hill, NC, Pediatrics
- Listed on the Medicare revocation list since January 6, 2023.
- Medicaid still paid claims in 6 later months, $67,978 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(12) other program termination (medicaid) | Exact NPI, name verified | Jan 6, 2023 | Jan 5, 2028 | 6 | Jul 2024 | Dec 2024 | $68K | $61K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | PAUL TOBIN, MD |
| Type | Individual |
| Status | Active |
| NPI issued | October 18, 2006, last updated April 30, 2025 |
| Practice location | 6013 FARRINGTON RD STE 101, Chapel Hill, NC 27517-8173, 984-974-7010 |
| Mailing address | 2000 PERIMETER PARK DR STE 200, Morrisville, NC 27560-8442 |
| Specialties | Internal Medicine (207R00000X, license 36129 NC) Pediatrics (208000000X, primary, license 0000-36129 NC) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T1015 | Medicaid service code | $122K | 69% | $185 | $182 (top 5% from $488) | 51st percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $25K | 14% | $62 | $60 (top 5% from $133) | 52nd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $20K | 11% | $59 | $44 (top 5% from $110) | 70th percentile | |
| 99392 | Medicaid service code | $3K | 2% | $268 | $78 (top 5% from $124) | too few months to rank | |
| 99393 | Medicaid service code | $2K | 1% | $149 | $78 (top 5% from $121) | too few months to rank | |
| 90460 | Administration of first vaccine or toxoid component with counseling (18 years or younger) | $2K | 1% | $27 | $26 (top 5% from $54) | too few months to rank | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | $1K | 1% | $69 | $40 (top 5% from $69) | too few months to rank | |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $667 | 0% | $48 | $44 (top 5% from $70) | too few months to rank |
In this area
2 providers in Chatham County, NC carry an indicator in the public record, with $840K at stake between them. The most common is paid after a public list action, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 5 | CHATHAM HOSPITAL INC Siler City, NC, ranked 11162 | $607K | |
| 5 | CHATHAM HOSPITAL, INC. Siler City, NC, ranked 11431 | $233K |
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.