Agency
Upward Change Health Services, LLC
Upward Change Health Services, LLC was paid $18.86M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 74% of everything it billed.
33Billing provider infoUPWARD CHANGE HEALTH SERVICES, LLC
DURHAM, NC 27713
DURHAM, NC 27713
33aNPI1306083688assigned 01/08/2009
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$18.86M
24GClaims112,363
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#41 of 856
Median peer was paid$908K
This provider vs. median21×
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 | 19,115 | $3.65M | |
| 2019 | 19,804 | $3.55M | |
| 2020 | 19,418 | $3.26M | |
| 2021 | 12,408 | $1.75M | |
| 2022 | 14,194 | $1.81M | |
| 2023 | 18,727 | $2.84M | |
| 2024incomplete | 8,697 | $1.99M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 74% | 57,686 | 4,298 | $13.91M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 13% | 30,989 | 10,086 | $2.47M |
| H0038 | Self-help/peer services, per 15 minutes | 12% | 17,641 | 2,644 | $2.20M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,735 | 1,991 | $180K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 512 | 443 | $56K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 622 | 284 | $28K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 110 | 70 | $9K |
| 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% | 38 | 38 | $4K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 30 | 12 | $1K |
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 officialALSTON, MISTY (DIRECTOR)