Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FOCUS BEHAVIORAL HEALTH SERVICES, LLC

NPI: 1487793139 · DREXEL, NC 28619 · Community/Behavioral Health Agency · NPI assigned 02/06/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H2012 with only 1 total codes billed. Highly concentrated billing profile.

$4.10M
Total Medicaid Paid
21,915
Total Claims
1,456
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOUGLAS, PAMELA (NC DIRECTOR)
NPI Enumeration Date02/06/2007

Related Entities

Other providers sharing the same authorized official: DOUGLAS, PAMELA

ProviderCityStateTotal Paid
FOCUS BEHAVIORAL HEALTH SERVICES, LLC HUDSON NC $4.55M
FOCUS BEHAVIORAL HEALTH SERVICES MORGANTON NC $2.24M
FOCUS BEHVIORAL HEALTH SERVICES, LLC MORGANTON NC $908K
FOCUS BEHAVIORAL HEALTH SERVICES, LLC LENOIR NC $589K
FOCUS BEHAVIORAL HEALTH SERVICES, LLC LENOIR NC $65K
FOCUS BEHAVIORAL HEALTH SERVICES, LLC BLOWING ROCK NC $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,042 $524K
2019 3,411 $577K
2020 3,143 $559K
2021 2,634 $473K
2022 2,891 $535K
2023 3,188 $583K
2024 3,606 $852K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2012 Behavioral health day treatment, per hour 21,915 1,456 $4.10M