Payments to doctors in North Carolina

What was reported

$550.8 million

General payments

$550,769,401

3,007,617 separate payments. Meals, travel, speaking and consulting fees, gifts.

$21.8 million

Research payments

$21,806,641

Funding for studies, usually paid to an institution with a doctor named on it. Shown apart from general payments and never added to them.

55,936

Doctors and practitioners

People CMS holds at least one reported payment for with a North Carolina address. Not a count of doctors in North Carolina, which neither source publishes — so nothing here is divided by it.

3.2%

Share of the national total

Of $17.3 billion in general payments reported nationally.

What North Carolina’s doctors prescribed under Medicare

A second CMS file records what doctors prescribed rather than what they were paid. In 2024, 45,303 prescribers with a North Carolina address filled 60,423,416 Medicare Part D prescriptions costing $10,230,613,800 — 3.5% of the $288.4 billion Medicare paid nationally. None of that money went to the doctors. It is what Medicare, its plans and patients paid pharmacies for what they wrote.

60,423,416

Prescriptions filled

Claims, counting every refill. 2024 only, not the period above.

$10.2 billion

What the drugs cost

$10,230,613,800

Paid to pharmacies by Medicare, its plans and patients. Not income for any doctor.

45,303

Prescribers

People CMS published a Part D row for. CMS drops a prescriber-drug row under eleven claims, so a doctor who prescribed little of everything is not here — and this is not a count of doctors in North Carolina.

2,473,245

Opioid prescriptions

Of 59,133,014 nationally. CMS withheld the opioid count from 350,416 prescribers, so this is a floor rather than a total.

The state is the practice address CMS holds for the prescriber, not where the patient lives or the pharmacy stands. Unlike the payment figures above, every Part D claim is attributed to a state, so these rows do add up to the national total — the gap described further down this page is an Open Payments gap and not this one. Prescribers ranked by claims, by what their prescriptions cost and by opioid claims are national lists.

North Carolina elsewhere on the Factbook

• Reported crimeCrime and justice

  Offenses reported to police by type, the trend, and the reporting coverage.

• Cities by violent crime rateCrime and justice

  What each agency serving 25,000 or more reported, ranked. Agency populations overlap, so these do not add up to the state.

• Prison populationCrime and justice

  People held under the state’s correctional authority, and the imprisonment rate. A different publisher counting a different thing.

• Arrests by race, sex and ageCrime and justice

  Arrests as the FBI’s participating agencies reported them, with what the figures can and cannot support at the top.

• Hate crimeCrime and justice

  Incidents reported to the FBI by bias motivation, as counts — the collection publishes no participation share, so there is no rate to compare states on.

• Federal obligationsFederal spending

  What federal agencies obligated against a place of performance in the state, per resident and by agency.

• Registered nonprofitsNonprofits

  How many organizations the IRS lists in the state, what they report as revenue, and which kinds of work they do.

• Immigration courtsImmigration and the border

  The EOIR courts sitting in the state, what they completed and still have pending, and how far apart their asylum grant rates are. The courts, not the state’s residents: a detention court hears cases from far outside it.

• Farm program paymentsFarm subsidies

  What the Farm Service Agency paid through the state’s county offices, by program and by recipient. The offices that administered the payments, not a count of farms: a recipient addressed elsewhere is counted where they were paid.

• The North Carolina Factbook entryAcross the Factbook

  Every measure the Factbook publishes for this state in one place, each with where it ranks among the others and the record it came from.

The immigration link above is EOIR’s courts, which sit in this state. CBP’s encounters are not by state and will not be: its sectors and field offices are areas of responsibility rather than a geography, and assigning them to states would be a claim the data does not make. Immigration and the border.

What this page does not show

• Where the work happened. The state is the practice address CMS holds for the doctor, not the place the payment was earned or the patient was seen.
• Doctors CMS holds no state for. 435 of 1,693,971 profiles carry no state, holding $3,697,188 in general payments. They are in the national total and on no state page, which is why the 51 state pages do not sum to it.
• Anything about influence. A payment can be a research grant, a royalty on a patent, a speaking fee or a meal. The record says what was paid and by whom, and this page makes no claim beyond that.