Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RAPHA HEALTHCARE SERVICES,LLC

NPI: 1316335128 · DURHAM, NC 27704 · Addiction (Substance Use Disorder) Counselor · NPI assigned 12/31/2014

$13.63M
Total Medicaid Paid
180,262
Total Claims
62,835
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHALLIDAY, SHARON (MANAGING MEMBER)
NPI Enumeration Date12/31/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 26,681 $2.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 42,892 15,061 $3.31M
H0038 Self-help/peer services, per 15 minutes 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 17,678 7,788 $2.56M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 37,127 13,735 $1.85M
90837 Psychotherapy, 53 minutes with patient 17,412 4,208 $1.24M
99215 Prolong outpt/office vis 7,452 2,994 $821K
Q3014 Telehealth originating site facility fee 22,880 8,102 $404K
99407 2,397 1,909 $54K
90853 Group psychotherapy (other than of a multiple-family group) 2,479 1,880 $31K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 614 293 $23K
90791 Psychiatric diagnostic evaluation 238 216 $20K
99205 Prolong outpt/office vis 125 108 $15K
90832 Psychotherapy, 30 minutes with patient 104 56 $5K
99244 Office or other outpatient consultation, moderate to high complexity 34 34 $4K
99199 Unlisted special service, procedure or report 2,480 2,437 $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 24 13 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 34 24 $3K
90837GT 16 16 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 38 30 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 33 30 $1K
99406 80 67 $760.38