Behavioral
Carolina Behavioral Care
Carolina Behavioral Care was paid $667K by Medicaid between Jan 2018 and May 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoCAROLINA BEHAVIORAL CARE
HILLSBOROUGH, NC 27278
HILLSBOROUGH, NC 27278
33aNPI1477716058assigned 07/03/2008
33bProvider typeClinical Social Worker
28Total paid$667K
24GClaims8,021
24DCodes billed12
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Clinical Social Worker providers in North Carolina
Rank by total paid#40 of 291
Median peer was paid$39K
This provider vs. median17×
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 | 1,813 | $164K | |
| 2019 | 2,548 | $192K | |
| 2020 | 2,087 | $179K | |
| 2021 | 1,489 | $127K | |
| 2023 | 84 | $5K |
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 | 53% | 4,304 | 3,914 | $356K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 17% | 1,725 | 1,093 | $116K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.1% | 378 | 335 | $34K |
| 99205 | Prolong outpt/office vis | 4.8% | 257 | 257 | $32K |
| 96101 | 4.3% | 98 | 65 | $29K | |
| 96130 | 4.3% | 258 | 197 | $28K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 418 | 405 | $24K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.8% | 156 | 156 | $19K |
| 96137 | 2.1% | 90 | 77 | $14K | |
| 90785 | <1% | 141 | 108 | $7K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 106 | 87 | $5K |
| 96136 | <1% | 90 | 77 | $3K |
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 officialCLOYD, STACY (SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Capstone Behavioral Health, INC. | Omaha, NE | $5.00M |
| Red Oak Counseling, LTD. | Elm Grove, WI | $686K |
| Eugene Center for Anxiety and Stress, LLC | Eugene, OR | $441K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.