Southlight Healthcare

Southlight Healthcare was paid $24.55M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 41% of everything it billed.

33Billing provider infoSOUTHLIGHT HEALTHCARE
RALEIGH, NC 27610

33aNPI1316268345assigned 06/14/2010

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$24.55M

24GClaims427,574

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

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

Rank by total paid#33 of 856

Median peer was paid$908K

This provider vs. median27×

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	58,126	$2.18M
2019	57,318	$1.89M
2020	54,913	$1.62M
2021	58,268	$1.98M
2022	57,094	$2.23M
2023	95,753	$5.78M
2024incomplete	46,102	$8.86M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	41%	320,496	17,203	$10.05M
H0038	Self-help/peer services, per 15 minutes	18%	39,741	6,773	$4.36M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	11%	20,923	2,683	$2.80M
H0040	Assertive community treatment program, per diem	9.9%	8,371	1,449	$2.43M
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	8.7%	16,432	2,124	$2.14M
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	4.3%	12,070	9,023	$1.06M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	3.4%	3,150	2,052	$828K
H2022	Community-based wrap-around services, per diem	2.0%	1,354	301	$490K
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	<1%	2,784	1,603	$117K
H2035	Alcohol and/or other drug treatment program, per hour	<1%	565	49	$101K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	705	333	$87K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	257	223	$30K

4 more codes

99213	Doctor's office visit, returning patient (routine)	<1%	421	$29K
99204	Doctor's office visit, new patient (more involved)	<1%	196	$22K
98966		<1%	93	$811.08
90853	Group psychotherapy (other than of a multiple-family group)	<1%	16	$489.53

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 officialHARTZELL, ADAM (CEO)

Same official

Other billing entities under HARTZELL, ADAM

Full network →

Provider	Location	Paid
Southlight Healthcare	Raleigh, NC	$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.