Agency
PCGH, INC
PCGH, INC was paid $3.92M by Medicaid between Jan 2018 and Dec 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 infoPCGH, INC
ROXBORO, NC 27573
ROXBORO, NC 27573
33aNPI1245376680assigned 01/30/2007
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$3.92M
24GClaims36,894
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in North Carolina
Rank by total paid#56 of 125
Median peer was paid$2.75M
This provider vs. median1.4×
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.
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 | 6,481 | $535K | |
| 2019 | 6,685 | $572K | |
| 2020 | 5,171 | $432K | |
| 2021 | 4,543 | $354K | |
| 2022 | 4,507 | $413K | |
| 2023 | 6,568 | $982K | |
| 2024incomplete | 2,939 | $628K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 100% | 36,894 | 1,728 | $3.92M |
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 officialDAY, MELISSA (CLINICAL DIRECTOR)