Agency
Primary Health Choice, INC.
Primary Health Choice, INC. was paid $22K by Medicaid between Feb 2018 and Oct 2022, across 7 billing codes. Its largest line is 98968, — 29% of everything it billed.
33Billing provider infoPRIMARY HEALTH CHOICE, INC.
LAURINBURG, NC 28352
LAURINBURG, NC 28352
33aNPI1235427279assigned 07/12/2011
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$22K
24GClaims766
24DCodes billed7
24AFirst – last monthFeb 2018 – Oct 2022
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in North Carolina
Rank by total paid#123 of 125
Median peer was paid$2.75M
This provider vs. median0.0×
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.
Entity ProliferationAuthorized official LOCKLEAR, ASHLEY controls 20+ related entities in our dataset. Read more
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 | 185 | $9K | |
| 2019 | 29 | $992.46 | |
| 2020 | 350 | $7K | |
| 2021 | 189 | $5K | |
| 2022 | 13 | $664.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 98968 | 29% | 262 | 184 | $6K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 23% | 129 | 105 | $5K |
| 98967 | 20% | 265 | 173 | $4K | |
| 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 | 13% | 42 | 41 | $3K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 8.4% | 27 | 24 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.9% | 25 | 25 | $1K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.3% | 16 | 12 | $502.72 |
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 officialLOCKLEAR, ASHLEY (CFO)
| Provider | Location | Paid |
|---|---|---|
| Primary Health Choice, INC. | Lumberton, NC | $93.14M |
| A Primary Choice, INC. | Monroe, NC | $70.92M |
| A Primary Choice | Lumberton, NC | $15.53M |
| Primary Health Choice, INC. | Lumberton, NC | $6.14M |
| A Primary Choice, INC. | Laurinburg, NC | $4.48M |
| A Primary Choice, INC. | Sanford, NC | $3.49M |
| A Primary Choice, INC. | Winston Salem, NC | $2.64M |
| A Primary Choice, INC. | Wadesboro, NC | $2.28M |
| A Primary Choice, INC. | Greensboro, NC | $1.81M |
| A Primary Choice, INC. | Asheboro, NC | $1.63M |
| A Primary Choice, INC. | Pembroke, NC | $1.60M |
| A Primary Choice, INC. | Burlington, NC | $815K |
| A Primary Choice, INC. | Monroe, NC | $639K |
| A Primary Choice, INC. | Tarboro, NC | $516K |
| A Primary Choice, INC. | Lenoir, NC | $260K |
| A Primary Choice, INC. | Kinston, NC | $217K |
| A Primary Choice, INC. | Forest City, NC | $184K |
| A Primary Choice, INC. | Red Springs, NC | $144K |
| A Primary Choice, INC. | Greenville, NC | $133K |
| Primary Health Choice, INC. | Lumberton, NC | $132K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.