Payments to Providers

Medicaid Payments to Providers reports, required by North Carolina Session Law 2014-100 Section 12H.15(a), include the following Medicaid claims provider data:

• Name of the individual providing the service.
• Location of provided services, listed with both municipality and county.
• Practice name, hospital name, or other business name.
• Type of service provider and practice area.
• Number of Medicaid patients seen.
• Number of visits with Medicaid patients.
• Number of procedures performed or items furnished for Medicaid patients.
• Amount of Medicaid service payments received.

The information is being published in both Excel and character-separated values (CSV) plain text formats so that the data may easily be imported into software used for spreadsheets, databases, and data analytics.

Reports and Dashboard

• SFY2023
• SFY2022
• SFY2021
• SFY2020
• SFY2019
• SFY2018
• SFY2017
• SFY2016
• SFY2015
• SFY2014
• Dashboard

Report Notes

• State Fiscal Years are July 1 through June 30
• Claim payments are based on payment date to the provider (not date of service).
• Where applicable recipient totals less than 11 and paid amounts less than $10,000 have been removed for privacy concerns.
• Medicaid supplemental payments and settlement payments are excluded because they are not processed within the Medicaid claims system. They will be listed later in a separate report.
• “Unknown” county names are due to missing provider information in NCTracks.