Managed care
Partners Behavioral Health Management
Partners Behavioral Health Management was paid $43.69M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoPARTNERS BEHAVIORAL HEALTH MANAGEMENT
GASTONIA, NC 28054
GASTONIA, NC 28054
33aNPI1275809543assigned 03/30/2012
33bProvider typeHealth Maintenance Organization
28Total paid$43.69M
24GClaims188,360
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in North Carolina
Rank by total paid#2 of 5
Median peer was paid$5.15M
This provider vs. median8.5×
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.
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 | 1,790 | $0.00 | |
| 2019 | 1,115 | $0.00 | |
| 2020 | 100 | $0.00 | |
| 2021 | 751 | $0.00 | |
| 2022 | 1,154 | $0.00 | |
| 2023 | 93,162 | $12.75M | |
| 2024incomplete | 90,288 | $30.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 100% | 182,772 | 125,093 | $43.69M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 467 | 315 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 252 | 163 | $0.00 |
| 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 | 0% | 1,516 | 790 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 103 | 102 | $0.00 |
| H0040 | Assertive community treatment program, per diem | 0% | 453 | 189 | $0.00 |
| Q3014 | Telehealth originating site facility fee | 0% | 234 | 185 | $0.00 |
| H0038CR | 0% | 55 | 24 | $0.00 | |
| H0020U3 | 0% | 78 | 78 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 0% | 649 | 443 | $0.00 |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 0% | 718 | 141 | $0.00 |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 0% | 112 | 27 | $0.00 |
6 more codes
| 90791 | Psychiatric diagnostic evaluation | 0% | 198 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 511 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 183 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 13 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 27 | $0.00 |
| 99442 | 0% | 19 | $0.00 |
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 officialMELTON, WILLIAM (CEO)
| Provider | Location | Paid |
|---|---|---|
| Kentucky School for the Deaf | Danville, KY | $74K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.