NP / PA
Sandhills Behavioral Care, PLLC
Sandhills Behavioral Care, PLLC was paid $6.62M by Medicaid between Jul 2018 and Dec 2024, across 24 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoSANDHILLS BEHAVIORAL CARE, PLLC
ROCKINGHAM, NC 28379
ROCKINGHAM, NC 28379
33aNPI1437653359assigned 03/23/2018
33bProvider typePrimary Care Nurse Practitioner
28Total paid$6.62M
24GClaims165,760
24DCodes billed24
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Primary Care Nurse Practitioner providers in North Carolina
Rank by total paid#1 of 21
Median peer was paid$17K
This provider vs. median379×
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 | 1,596 | $143K | |
| 2019 | 7,305 | $539K | |
| 2020 | 11,287 | $480K | |
| 2021 | 21,494 | $810K | |
| 2022 | 34,730 | $1.42M | |
| 2023 | 39,266 | $1.47M | |
| 2024incomplete | 50,082 | $1.76M |
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 | 49% | 52,481 | 29,584 | $3.26M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 11,126 | 5,751 | $798K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 9.6% | 20,331 | 12,502 | $638K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 8.8% | 16,078 | 8,447 | $585K |
| 99205 | Prolong outpt/office vis | 4.7% | 2,269 | 1,495 | $310K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 3,467 | 2,315 | $272K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 3.7% | 2,560 | 1,699 | $242K |
| 99199 | Unlisted special service, procedure or report | 3.3% | 32,860 | 18,436 | $216K |
| 80305 | 2.3% | 13,831 | 8,377 | $151K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 3,441 | 2,318 | $75K |
| 96127 | <1% | 5,675 | 2,944 | $18K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 213 | 90 | $17K |
12 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 258 | $11K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 186 | $7K |
| 99214GT | <1% | 35 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 120 | $3K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 19 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 579 | $877.59 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | $694.32 |
| 99401 | <1% | 47 | $650.77 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 33 | $385.29 |
| 98968 | <1% | 22 | $203.68 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 24 | $150.24 |
| 99406 | <1% | 40 | $109.88 |
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 officialGAINEY, TAMMIE (OWNER/NURSE PRACTITIONER)
| Provider | Location | Paid |
|---|---|---|
| Sandhills Behavioral Care, PLLC | Rockingham, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.