October Road INC.
October Road INC. was paid $24.64M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 80% of everything it billed.
ASHEVILLE, NC 28805
Next to other Addiction (Substance Use Disorder) Counselor providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,039 | $2.01M | |
| 2019 | 15,641 | $2.03M | |
| 2020 | 15,956 | $2.76M | |
| 2021 | 13,564 | $3.10M | |
| 2022 | 16,591 | $3.38M | |
| 2023 | 27,677 | $5.76M | |
| 2024incomplete | 31,810 | $5.61M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0040 | Assertive community treatment program, per diem | 80% | 80,647 | 12,285 | $19.67M |
| H2035 | Alcohol and/or other drug treatment program, per hour | 9.1% | 9,185 | 948 | $2.25M |
| 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 | 5.3% | 9,971 | 1,562 | $1.31M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 11,770 | 7,872 | $414K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 6,622 | 3,068 | $241K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,301 | 1,931 | $174K |
| 99443 | <1% | 2,597 | 2,001 | $157K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,607 | 1,631 | $129K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 5,900 | 2,053 | $127K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,070 | 831 | $84K |
| 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% | 1,074 | 848 | $48K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,252 | 896 | $29K |
3 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pyramid Health Care INC. | Wilkinsburg, PA | $128.75M |
| Pyramid Healthcare | Belleville, PA | $87.33M |
| Pyramid Healthcare, INC. | Newport News, VA | $40.65M |
| Pyramid Walden LLC | Charlotte Hall, MD | $27.53M |
| Pyramid Health Care INC. | Duncansville, PA | $23.92M |
| Mountaineer Behavioral Health | Kearneysville, WV | $20.46M |
| Pyramid Walden, LLC | Joppa, MD | $16.70M |
| Pyramid Healthcare INC. | Altoona, PA | $14.30M |
| Pyramid Healthcare INC. | Altoona, PA | $13.25M |
| Pyramid Healthcare INC. | Allentown, PA | $11.01M |
| October Road, INC. | Mars Hill, NC | $10.82M |
| Pyramid Healthcare INC. | East Stroudsburg, PA | $10.38M |
| Pyramid Healthcare INC. | Langhorne, PA | $8.62M |
| Pyrmaid Healthcare INC. | York, PA | $8.19M |
| Pyramid Healthcare INC | Gibsonia, PA | $8.17M |
| Pyramid Healthcare, INC. | Radford, VA | $7.68M |
| Pyramid Walden, LLC | California, MD | $4.79M |
| Pyramid Healthcare INC. | Quakertown, PA | $4.16M |
| October Road, INC. | Asheville, NC | $3.63M |
| Pyramid Healthcare INC. | Tyrone, PA | $3.47M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.