Clinic
Southeastern Integrated Care
Southeastern Integrated Care was paid $23.92M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 54% of everything it billed.
33Billing provider infoSOUTHEASTERN INTEGRATED CARE
LUMBERTON, NC 28358
LUMBERTON, NC 28358
33aNPI1326036138assigned 10/06/2005
33bProvider typePrimary Care Clinic/Center
28Total paid$23.92M
24GClaims145,306
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in North Carolina
Rank by total paid#1 of 116
Median peer was paid$226K
This provider vs. median106×
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 | 101 | $0.00 | |
| 2019 | 2,749 | $272K | |
| 2020 | 7,523 | $1.33M | |
| 2021 | 13,266 | $2.58M | |
| 2022 | 21,460 | $3.90M | |
| 2023 | 34,141 | $5.53M | |
| 2024incomplete | 66,066 | $10.31M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 54% | 46,826 | 3,981 | $12.83M |
| H2022 | Community-based wrap-around services, per diem | 12% | 10,537 | 932 | $2.89M |
| H0040 | Assertive community treatment program, per diem | 11% | 7,668 | 1,453 | $2.73M |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | 7.1% | 3,620 | 329 | $1.71M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.1% | 15,591 | 5,430 | $1.21M |
| H2035 | Alcohol and/or other drug treatment program, per hour | 4.8% | 5,356 | 585 | $1.14M |
| H0038 | Self-help/peer services, per 15 minutes | 1.8% | 3,103 | 470 | $420K |
| 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 | 1.1% | 4,884 | 3,866 | $256K |
| 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% | 1,531 | 240 | $206K |
| 99199 | Unlisted special service, procedure or report | <1% | 25,949 | 15,658 | $165K |
| 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% | 5,104 | 3,599 | $161K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 862 | 812 | $92K |
29 more codes
| 99458 | <1% | 739 | $31K | |
| 99457 | <1% | 828 | $21K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 190 | $20K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 130 | $10K |
| 99442 | <1% | 397 | $9K | |
| 99454 | <1% | 243 | $8K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 103 | $7K |
| 98967 | <1% | 239 | $4K | |
| 80305 | <1% | 289 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 122 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 22 | $667.03 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 128 | $624.79 |
| 36415 | Collection of venous blood by venipuncture | <1% | 429 | $469.33 |
| 96127 | <1% | 82 | $289.08 | |
| 99453 | <1% | 18 | $194.66 | |
| 99491 | Ccm add 20min | <1% | 18 | $147.47 |
| 96160 | <1% | 13 | $23.13 | |
| 36416 | <1% | 127 | $6.00 | |
| 3044F | <1% | 121 | $0.10 | |
| 3074F | <1% | 2,077 | $0.09 | |
| 3078F | <1% | 1,693 | $0.07 | |
| 1160F | <1% | 563 | $0.06 | |
| 3079F | <1% | 990 | $0.05 | |
| 3075F | <1% | 376 | $0.03 | |
| 3077F | <1% | 383 | $0.01 | |
| 3725F | 0% | 87 | $0.00 | |
| 1036F | 0% | 1,550 | $0.00 | |
| 3008F | 0% | 2,181 | $0.00 | |
| 3080F | 0% | 137 | $0.00 |
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 officialDAY, NIKKIA (CREDENTIALING SPECIALIST)