Providers
CAROLINA FAMILY AND URGENT CARE
NPI 1346338159, organization, Lumberton, NC, Clinic/Center, Health Services
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since September 8, 2023.
- Medicaid still paid claims in 7 later months, $5,787 in total.
- Medicaid dollars per patient on code 80307 ($100 per patient-month) sit in the top 5% of every provider billing that code.
score 98 of 100, rank 30, $6K at stake
Public list actions
Medicare revocation effective September 8, 2023, barred from re-enrolling until September 8, 2033
424.535(a)(9) failure to report and 424.535(a)(3) felonies, Part B Supplier - Clinic/Group Practice, NC
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)(3) felonies | Exact NPI, name verified | Sep 8, 2023 | Sep 8, 2033 | 7 | Oct 2023 | Apr 2024 | $6K | $87K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | CAROLINA FAMILY AND URGENT CARE |
| Type | Organization |
| Status | Active |
| NPI issued | October 10, 2006, last updated July 21, 2022 |
| Practice location | 4380 FAYETTEVILLE RD, Lumberton, NC 28358-2677, 910-618-0026 |
| Authorized official | SHARON HAMMONDS (insurance) |
| Specialties | Clinic/Center, Health Services (261QH0100X, primary) |
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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $823K | 47% | $131 | $28 (top 5% from $147) | too few months to rank | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $432K | 25% | $149 | $60 (top 5% from $133) | too few months to rank | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $277K | 16% | $125 | $44 (top 5% from $110) | too few months to rank | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $119K | 7% | $100 | $45 (top 5% from $110) | 97th percentile | |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $72K | 4% | $68 | $45 (top 5% from $138) | too few months to rank | |
| 80305 | Testing for presence of drug, read by direct observation | $14K | 1% | $13 | $9.23 (top 5% from $22) | too few months to rank | |
| 99407 | Smoking and tobacco use intensive counseling, more than 10 minutes | $12K | 1% | $33 | $14 (top 5% from $36) | too few months to rank | |
| 95165 | Professional service for preparation and provision of 1 or more antigens | $5K | 0% | $105 | $187 (top 5% from $1K) | too few months to rank |
In this area
5 providers in Robeson County, NC carry an indicator in the public record, with $16.8M at stake between them. The most common is more hours than a day holds, on 5 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 4 | JANA-RAE LOCKLEAR Pembroke, NC, ranked 7363 | $123K |
|
| 4 | CHRISTINA JONES Lumberton, NC, ranked 9647 | $46K |
|
| 5 | CHARLES GRAHAM Lumberton, NC, ranked 10416 | $15.6M |
|
| 5 | RICARDO POJOL Lumberton, NC, ranked 10998 | $1.1M | |
| 5 | FELICIA BRITT Shannon, NC, ranked 11841 | $27K |
Recent enforcement in NC
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.
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.