Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Lumberton › NPI 1235481938
Behavioral

Primary Health Choice, INC.

Primary Health Choice, INC. was paid $2.65M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 100% of everything it billed.

33Billing provider infoPRIMARY HEALTH CHOICE, INC.
LUMBERTON, NC 28360
33aNPI1235481938assigned 10/05/2012
33bProvider typeProfessional Counselor
28Total paid$2.65M
24GClaims17,658
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Professional Counselor providers in North Carolina

Rank by total paid#18 of 214
Median peer was paid$108K
This provider vs. median25×

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 T2021 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official DAVIS, THAD controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20182,183$271K
20191,084$142K
20201,777$247K
20212,969$427K
20223,140$473K
20232,863$433K
2024incomplete3,642$662K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 100% 17,658 1,199 $2.65M

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 officialDAVIS, THAD (CEO)
Same official

Other billing entities under DAVIS, THAD

Full network →
ProviderLocationPaid
A Primary Choice, INC.Dunn, NC$5.70M
A Primary Choice, INC.Whiteville, NC$4.34M
A Primary Choice, INC.Elizabethtown, NC$4.12M
A Primary Choice, INC.Wilson, NC$3.67M
A Primary Choice, INC.Goldsboro, NC$3.27M
A Primary Choice, INC.Clinton, NC$3.07M
A Primary Choice INCKenansville, NC$2.84M
Primary Health Choice INCSaint Pauls, NC$2.69M
A Primary Choice, INC.Selma, NC$2.17M
A Primary Choice, INC.Fayetteville, NC$2.10M
A Primary Choice, INC.Raeford, NC$2.04M
A Primary Choice, INC.Rockingham, NC$1.74M
A Primary Choice, INC.Rocky Mount, NC$1.37M
Primary Health Choice, INC.Elizabethtown, NC$30K
Primary Health Choice, INC.Elizabethtown, NC$6K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.