Behavioral
Rapha Healthcare Services,llc
Rapha Healthcare Services,llc was paid $13.63M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoRAPHA HEALTHCARE SERVICES,LLC
DURHAM, NC 27704
DURHAM, NC 27704
33aNPI1316335128assigned 12/31/2014
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$13.63M
24GClaims180,262
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in North Carolina
Rank by total paid#6 of 222
Median peer was paid$168K
This provider vs. median81×
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 | 25,733 | $1.50M | |
| 2019 | 28,997 | $1.98M | |
| 2020 | 22,393 | $1.68M | |
| 2021 | 25,053 | $2.13M | |
| 2022 | 26,603 | $2.26M | |
| 2023 | 24,802 | $1.92M | |
| 2024incomplete | 26,681 | $2.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 24% | 42,892 | 15,061 | $3.31M |
| H0038 | Self-help/peer services, per 15 minutes | 24% | 26,125 | 3,834 | $3.27M |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 19% | 17,678 | 7,788 | $2.56M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 14% | 37,127 | 13,735 | $1.85M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.1% | 17,412 | 4,208 | $1.24M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.0% | 7,452 | 2,994 | $821K |
| Q3014 | Telehealth originating site facility fee | 3.0% | 22,880 | 8,102 | $404K |
| 99407 | <1% | 2,397 | 1,909 | $54K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,479 | 1,880 | $31K |
| 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% | 614 | 293 | $23K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 238 | 216 | $20K |
| 99205 | Prolong outpt/office vis | <1% | 125 | 108 | $15K |
9 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 104 | $5K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 34 | $4K |
| 99199 | Unlisted special service, procedure or report | <1% | 2,480 | $4K |
| 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% | 24 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 34 | $3K |
| 90837GT | <1% | 16 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 38 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 33 | $1K |
| 99406 | <1% | 80 | $760.38 |
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 officialHALLIDAY, SHARON (MANAGING MEMBER)