Elite Healthcare Group INC.

Elite Healthcare Group INC. was paid $2.28M by Medicaid between Jun 2021 and Dec 2024, across 3 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 97% of everything it billed.

33Billing provider infoELITE HEALTHCARE GROUP INC.
WINSTON SALEM, NC 27106

33aNPI1346759925assigned 09/26/2017

33bProvider typeBehavioral Analyst

28Total paid$2.28M

24GClaims5,156

24DCodes billed3

24AFirst – last monthJun 2021 – Dec 2024

Compared with peers

Next to other Behavioral Analyst providers in North Carolina

Rank by total paid#21 of 40

Median peer was paid$2.28M

This provider vs. median1.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code 97153 with only 3 total codes billed. Highly concentrated billing profile.

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
2021	720	$204K
2023	1,859	$866K
2024incomplete	2,577	$1.21M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97153	Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes	97%	4,831	364	$2.22M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	2.2%	274	50	$51K
97152		<1%	51	24	$10K

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 officialDINKINS, ANDREW (CEO)