County of Graham

County of Graham was paid $1.48M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T1016, Case management, each 15 minutes — 97% of everything it billed.

33Billing provider infoCOUNTY OF GRAHAM
ROBBINSVILLE, NC 28771

33aNPI1487948055assigned 06/01/2011

33bProvider typeCase Management Agency

28Total paid$1.48M

24GClaims17,491

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Case Management Agency providers in North Carolina

Rank by total paid#107 of 195

Median peer was paid$2.05M

This provider vs. median0.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

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	6,887	$145K
2019	6,434	$179K
2020	1,038	$296K
2021	984	$289K
2022	862	$249K
2023	746	$179K
2024incomplete	540	$143K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1016	Case management, each 15 minutes	97%	16,039	4,871	$1.44M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2.8%	1,452	1,416	$41K

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 officialPARHAM, ALICIA (HEALTH DIRECTOR)

Parent organizationCOUNTY OF GRAHAM