Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

BCPS Holdco

BCPS Holdco was paid $29.43M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 97153, applied behavior analysis (autism therapy), per 15 minutes — 78% of everything it billed.

33Billing provider infoBCPS HOLDCO
GREENVILLE, NC 27858
33aNPI1457637977assigned 10/28/2011
33bProvider typePsychologist
28Total paid$29.43M
24GClaims95,791
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychologist providers in North Carolina

Rank by total paid#2 of 96
Median peer was paid$141K
This provider vs. median209×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
20183,751$471K
20197,534$1.21M
20209,165$2.73M
202116,504$4.64M
202216,998$5.12M
202321,326$6.80M
2024incomplete20,513$8.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 78% 62,451 3,756 $23.07M
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 16% 20,146 3,698 $4.76M
0365T 2.4% 3,311 226 $701K
97156 <1% 2,725 1,553 $237K
97152 <1% 378 179 $113K
97151 <1% 533 195 $101K
0364T <1% 3,523 237 $95K
T2025 Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) <1% 503 237 $93K
97154 <1% 690 50 $81K
96131 <1% 236 160 $74K
0369T <1% 403 97 $57K
0368T <1% 418 98 $17K
4 more codes
96130 <1% 199 $17K
96137 <1% 124 $15K
96136 <1% 138 $5K
90791 Psychiatric diagnostic evaluation <1% 13 $1K

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 officialCONE, RITA (ADMINISTRATOR)