Agency
Focused Care, INC
Focused Care, INC was paid $1.88M by Medicaid between Dec 2021 and Dec 2024, across 2 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 100% of everything it billed.
33Billing provider infoFOCUSED CARE, INC
SHELBY, NC 28150
SHELBY, NC 28150
33aNPI1205323078assigned 04/17/2018
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.88M
24GClaims13,004
24DCodes billed2
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#315 of 856
Median peer was paid$908K
This provider vs. median2.1×
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.
Single-Code Concentration100% of spending on code H0038 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2021 | 137 | $16K | |
| 2022 | 3,304 | $405K | |
| 2023 | 2,683 | $391K | |
| 2024incomplete | 6,880 | $1.07M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 100% | 12,942 | 1,100 | $1.88M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 62 | 38 | $288.04 |
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 officialRICE, GERTRUDE (OWNER)