PCGH, INC
NPI: 1245376680
· ROXBORO, NC 27573
· Developmentally Disabled Services Day Training Agency
· NPI assigned 01/30/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2021 with only 1 total codes billed. Highly concentrated billing profile.
$3.92M
Total Medicaid Paid
Provider Details
| Authorized Official | DAY, MELISSA (CLINICAL DIRECTOR) |
| NPI Enumeration Date | 01/30/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,481 |
$535K |
| 2019 |
6,685 |
$572K |
| 2020 |
5,171 |
$432K |
| 2021 |
4,543 |
$354K |
| 2022 |
4,507 |
$413K |
| 2023 |
6,568 |
$982K |
| 2024 |
2,939 |
$628K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2021 |
Day habilitation, waiver; per 15 minutes |
36,894 |
1,728 |
$3.92M |