Primary Care Solutions INC

Primary Care Solutions INC was paid $20.86M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 61% of everything it billed.

33Billing provider infoPRIMARY CARE SOLUTIONS INC
CHARLOTTE, NC 28212

33aNPI1053535369assigned 04/11/2007

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$20.86M

24GClaims121,649

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in North Carolina

Rank by total paid#2 of 222

Median peer was paid$168K

This provider vs. median124×

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	8,043	$1.12M
2019	6,642	$827K
2020	15,269	$2.33M
2021	21,873	$3.19M
2022	21,103	$3.61M
2023	25,649	$5.01M
2024incomplete	23,070	$4.78M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	61%	85,094	6,476	$12.64M
H2022	Community-based wrap-around services, per diem	17%	13,516	909	$3.54M
S5145	Foster care, therapeutic, child; per diem	15%	16,234	616	$3.08M
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)	4.1%	2,394	412	$847K
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	2.9%	2,110	1,734	$598K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	2,271	626	$157K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	14	14	$2K
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	<1%	16	14	$1K

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 officialBURGOS, MARISIL (QA QI DIRECTOR)