CORE CONCEPTS, LLC
NPI: 1265084321
· ROCKY MOUNT, VA 24151
· Community/Behavioral Health Agency
· NPI assigned 07/09/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0046 with only 2 total codes billed. Highly concentrated billing profile.
$4.40M
Total Medicaid Paid
1,937
Beneficiary Records
Provider Details
| Authorized Official | FASICK, BARBARA (PRESIDENT) |
| NPI Enumeration Date | 07/09/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
4,274 |
$544K |
| 2021 |
3,538 |
$485K |
| 2022 |
5,762 |
$885K |
| 2023 |
9,897 |
$1.61M |
| 2024 |
4,608 |
$874K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| H0046 |
Mental health services, not otherwise specified |
28,045 |
1,910 |
$4.40M |
| H0032 |
Mental health service plan development by non-physician |
34 |
27 |
$2K |