COMPLETE WELL-CARE SOURCE LLC
NPI: 1124646328
· SALISBURY, NC 28144
· Case Manager/Care Coordinator
· NPI assigned 07/14/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code H0038 with only 3 total codes billed. Highly concentrated billing profile.
$20.53M
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, MYRA (CEO) |
| NPI Enumeration Date | 07/14/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
6,905 |
$382K |
| 2022 |
52,063 |
$6.50M |
| 2023 |
99,444 |
$10.56M |
| 2024 |
20,488 |
$3.08M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0038 |
Self-help/peer services, per 15 minutes |
171,001 |
11,520 |
$19.59M |
| T1016 |
Case management, each 15 minutes |
5,647 |
459 |
$479K |
| H2035 |
Alcohol and/or other drug treatment program, per hour |
2,252 |
139 |
$453K |