Coastal Horizons Center, INC

Coastal Horizons Center, INC was paid $44.65M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 62% of everything it billed.

33Billing provider infoCOASTAL HORIZONS CENTER, INC
WILMINGTON, NC 28412

33aNPI1033420153assigned 06/23/2010

33bProvider typeMental Health Counselor

28Total paid$44.65M

24GClaims297,261

24DCodes billed28

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in North Carolina

Rank by total paid#4 of 321

Median peer was paid$192K

This provider vs. median233×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	59,048	$8.85M
2019	61,285	$7.40M
2020	38,601	$4.89M
2021	28,449	$3.70M
2022	28,962	$3.71M
2023	34,858	$5.65M
2024incomplete	46,058	$10.44M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2022	Community-based wrap-around services, per diem	62%	63,593	12,628	$27.66M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	13%	96,595	8,912	$6.01M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education	9.9%	34,559	5,143	$4.43M
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	4.3%	25,107	19,906	$1.91M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	3.8%	6,352	4,903	$1.70M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	2.3%	13,624	8,665	$1.04M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	1.0%	10,599	6,347	$452K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	8,431	5,677	$420K
Q3014	Telehealth originating site facility fee	<1%	18,304	12,406	$300K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	1,929	1,471	$244K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	3,310	2,672	$173K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	878	764	$89K

16 more codes

99443		<1%	1,210	$53K
H0038	Self-help/peer services, per 15 minutes	<1%	1,264	$41K
99199	Unlisted special service, procedure or report	<1%	6,817	$36K
98968		<1%	657	$18K
99406		<1%	1,823	$17K
T1016	Case management, each 15 minutes	<1%	895	$16K
99205	Prolong outpt/office vis	<1%	75	$11K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	154	$10K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	396	$8K
99204	Doctor's office visit, new patient (more involved)	<1%	71	$8K
99442		<1%	204	$6K
98967		<1%	120	$3K
99203	Doctor's office visit, new patient (routine)	<1%	13	$925.44
98966		<1%	35	$546.63
90785		<1%	137	$390.03
96127		<1%	109	$205.45

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWELLER-STARGELL, MARGARET (PRESIDENT/CEO)

Parent organizationCOASTAL HORIZONS CENTER, INC.