Providers
All 167 in NC
SANDHILLS ORTHOPAEDIC AND SPINE CLINIC, PA
NPI 1740225101, organization, Southern Pines, NC, Orthopaedic Surgery
1
Evidence tier
documented action, then payment
- Listed on the Medicare revocation list since February 10, 2022.
- Medicaid still paid claims in 1 later month, $735 in total.
score 93 of 100, rank 406, $735 at stake
Public list actions
Medicare revocation effective February 10, 2022, barred from re-enrolling until February 10, 2032
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 | Feb 10, 2022 | Feb 10, 2032 | 1 | Mar 2022 | Mar 2022 | $735 | $50K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SANDHILLS ORTHOPAEDIC AND SPINE CLINIC, PA |
| Type | Organization |
| Status | Active |
| NPI issued | June 19, 2006, last updated October 29, 2012 |
| Practice location | 120 BRAEMAR COURT, TURNBERRY WOOD, Southern Pines, NC 28388, 910-692-3144 |
| Mailing address | PO BOX 660, Southern Pines, NC 28388-0660 |
| Authorized official | KIRSTEN RICE (Executive Director Finance/Business) |
| Specialties | Orthopaedic Surgery (207X00000X, primary, license 29028 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.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $240K | 98% | $42 | $60 (top 5% from $133) | too few months to rank | |
| 99422 | Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes | $2K | 1% | $21 | $21 (top 5% from $73) | too few months to rank | |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $2K | 1% | $123 | $95 (top 5% from $171) | too few months to rank | |
| 72100 | X-ray of lower and sacral spine, 2-3 views | $287 | 0% | $16 | $12 (top 5% from $55) | too few months to rank | |
| J3490 | Unclassified drugs | $2 | 0% | $0.07 | $4.55 (top 5% from $108) | too few months to rank |
In this area
167 providers in NC carry an indicator in the public record, with $185.8M at stake between them. The most common is more hours than a day holds, on 85 of them, followed by part of a provider network on 42. 21 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DAVID SMITH Winston Salem, NC, ranked 2 | $1.1M |
|
| 1 | MICHAEL ADIX Shelby, NC, ranked 12 | $155K |
|
| 1 | CAROLINA FAMILY AND URGENT CARE Lumberton, NC, ranked 30 | $6K |
|
| 1 | JOSEPH MEYER Fort Bragg, NC, ranked 48 | $26K |
|
| 1 | LIFE TOUCH LLC Kinston, NC, ranked 68 | $868K |
|
| 1 | ULTIMATE SACRIFICE Winston Salem, NC, ranked 96 | $365K |
|
| 1 | MALIK MUHAMMAD Durham, NC, ranked 116 | $2K |
|
| 1 | JACKSON CONSULTING AND SERVICES LLC Charlotte, NC, ranked 127 | $138K |
|
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.