Agency
Coastal Horizons Center INC.
Coastal Horizons Center INC. was paid $37.32M by Medicaid between May 2019 and Dec 2024, across 15 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 96% of everything it billed.
33Billing provider infoCOASTAL HORIZONS CENTER INC.
BURGAW, NC 28425
BURGAW, NC 28425
33aNPI1467948729assigned 07/10/2018
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$37.32M
24GClaims118,528
24DCodes billed15
24AFirst – last monthMay 2019 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#17 of 856
Median peer was paid$908K
This provider vs. median41×
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 | |
|---|---|---|---|
| 2019 | 12,804 | $2.74M | |
| 2020 | 33,918 | $8.11M | |
| 2021 | 33,252 | $7.07M | |
| 2022 | 17,972 | $5.31M | |
| 2023 | 12,597 | $7.24M | |
| 2024incomplete | 7,985 | $6.84M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 96% | 91,455 | 16,259 | $35.95M |
| 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 | 1.4% | 6,262 | 5,324 | $528K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 3,317 | 2,121 | $271K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,286 | 2,700 | $190K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,999 | 2,156 | $159K |
| Q3014 | Telehealth originating site facility fee | <1% | 6,525 | 4,724 | $113K |
| 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% | 362 | 52 | $44K |
| 99199 | Unlisted special service, procedure or report | <1% | 2,833 | 2,833 | $24K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 100 | 92 | $13K |
| 99443 | <1% | 121 | 107 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 72 | 69 | $8K |
| 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% | 82 | 79 | $5K |
3 more codes
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 officialJOINES, TALMADGE (QUALITY IMPROVEMENT TRAINING DIR.)
| Provider | Location | Paid |
|---|---|---|
| Coastal Horizons Center INC | Rocky Point, NC | $1.58M |
| Coastal Horizons Center INC. | Elizabethtown,, NC | $161K |
| Coastal Horizons Center INC | Elizabethtown, NC | $156K |
| Coastal Horizons Center INC. | New Bern, NC | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.