Agency
Lincoln County
Lincoln County was paid $2.82M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is T1016, Case management, each 15 minutes — 85% of everything it billed.
33Billing provider infoLINCOLN COUNTY
LINCOLNTON, NC 28092
LINCOLNTON, NC 28092
33aNPI1407987357assigned 03/09/2007
33bProvider typeCase Management Agency
28Total paid$2.82M
24GClaims22,123
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#84 of 195
Median peer was paid$2.05M
This provider vs. median1.4×
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 | 7,096 | $194K | |
| 2019 | 6,848 | $281K | |
| 2020 | 1,553 | $504K | |
| 2021 | 1,704 | $522K | |
| 2022 | 1,732 | $485K | |
| 2023 | 1,720 | $447K | |
| 2024incomplete | 1,470 | $389K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 85% | 17,667 | 7,726 | $2.41M |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | 9.0% | 699 | 665 | $253K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 3.3% | 2,387 | 2,170 | $92K |
| A4554 | Disposable underpads, all sizes | <1% | 669 | 616 | $28K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 257 | 228 | $15K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 250 | 230 | $9K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 71 | 65 | $7K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 98 | 80 | $5K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 25 | 25 | $2K |
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 officialJONES, LENA (HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Lincoln County | Lincolnton, NC | $1.27M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.