Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAROLINA BEHAVIORAL CARE, PA

NPI: 1487709861 · HILLSBOROUGH, NC 27278 · Psychiatry Physician · NPI assigned 01/24/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PESCE, ELISABETH controls 14+ related entities in our dataset. Read more

$3.52M
Total Medicaid Paid
49,047
Total Claims
36,373
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPESCE, ELISABETH (SECRETARY)
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: PESCE, ELISABETH

ProviderCityStateTotal Paid
ADVANCED THERAPY ASSOCIATES, LLC OKLAHOMA CITY OK $12.62M
NEW PERSPECTIVES CENTER FOR COUNSELING & THERAPY SALEM OR $11.84M
CAROLINA BEHAVIORAL CARE DURHAM NC $6.22M
LIFESOLUTIONS COUNSELING ASSOCIATES, P.C. CARMEL IN $2.27M
CAROLINA BEHAVIORAL CARE PINEHURST NC $1.44M
CAROLINA BEHAVIORAL CARE, PA PINEHURST NC $1.38M
CAROLINA BEHAVIORAL CARE DURHAM NC $676K
SUNDANCE BEHAVIORAL RESOURCES, LLC MURRAY UT $467K
FAMILY COUNSELING ASSOCIATES OF SALEM ANDOVER LLC ANDOVER MA $454K
COASTAL COUNSELING CENTER INC CHESAPEAKE VA $443K
REFRESH CANOPY COVE INC. SARASOTA FL $332K
EUGENE THERAPY LLC EUGENE OR $108K
XPLOR COUNSELING, LLC HONOLULU HI $8K
CARROLL COUNSELING CENTER, LLC ELDERSBURG MD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,482 $362K
2019 4,681 $323K
2020 3,051 $212K
2021 4,914 $293K
2022 13,998 $1.16M
2023 14,306 $949K
2024 2,615 $218K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,569 20,386 $1.87M
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 5,538 4,198 $701K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 7,969 6,278 $495K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,372 3,706 $243K
90837 Psychotherapy, 53 minutes with patient 2,613 1,044 $133K
99205 Prolong outpt/office vis 180 150 $25K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 85 70 $13K
90834 Psychotherapy, 45 minutes with patient 225 123 $9K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 131 121 $9K
96131 16 12 $7K
90791 Psychiatric diagnostic evaluation 63 51 $6K
99215 Prolong outpt/office vis 60 42 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 88 72 $3K
96130 16 12 $1K
99406 122 108 $1K