FOCUSED CARE, INC
NPI: 1205323078
· SHELBY, NC 28150
· Community/Behavioral Health Agency
· NPI assigned 04/17/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0038 with only 2 total codes billed. Highly concentrated billing profile.
$1.88M
Total Medicaid Paid
Provider Details
| Authorized Official | RICE, GERTRUDE (OWNER) |
| NPI Enumeration Date | 04/17/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
137 |
$16K |
| 2022 |
3,304 |
$405K |
| 2023 |
2,683 |
$391K |
| 2024 |
6,880 |
$1.07M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0038 |
Self-help/peer services, per 15 minutes |
12,942 |
1,100 |
$1.88M |
| 90837 |
Psychotherapy, 53 minutes with patient |
62 |
38 |
$288.04 |