Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Carolina Outreach, LLC

Carolina Outreach, LLC was paid $7.80M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 70% of everything it billed.

33Billing provider infoCAROLINA OUTREACH, LLC
SMITHFIELD, NC 27577
33aNPI1285054692assigned 04/24/2014
28Total paid$7.80M
24GClaims38,540
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in North Carolina

Rank by total paid#112 of 856
Median peer was paid$908K
This provider vs. median8.6×

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

$0$100K$200K$300K2018201920202021202220232024
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
20183,767$578K
20194,504$698K
20203,657$668K
20213,213$637K
20223,935$890K
202310,549$2.37M
2024incomplete8,915$1.96M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0040 Assertive community treatment program, per diem 70% 23,831 3,456 $5.49M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 20% 8,721 950 $1.57M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 3.4% 3,042 1,688 $266K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 2.1% 604 363 $165K
H2022 Community-based wrap-around services, per diem 2.1% 675 85 $161K
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 1.5% 1,408 1,319 $119K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education <1% 117 24 $15K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 76 70 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 24 24 $1K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient <1% 28 25 $1K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 14 12 $789.30

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, ROB (ADMIN SUPPORT)