Behavioral
Carolina Outreach, LLC
Carolina Outreach, LLC was paid $47.65M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 35% of everything it billed.
33Billing provider infoCAROLINA OUTREACH, LLC
DURHAM, NC 27707
DURHAM, NC 27707
33aNPI1508171216assigned 08/18/2010
33bProvider typeMental Health Counselor
28Total paid$47.65M
24GClaims252,745
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in North Carolina
Rank by total paid#3 of 321
Median peer was paid$192K
This provider vs. median249×
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 | 25,361 | $3.96M | |
| 2019 | 25,090 | $3.80M | |
| 2020 | 28,612 | $4.69M | |
| 2021 | 37,949 | $7.31M | |
| 2022 | 34,787 | $7.38M | |
| 2023 | 55,956 | $12.24M | |
| 2024incomplete | 44,990 | $8.26M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 35% | 63,389 | 5,673 | $16.67M |
| H0040 | Assertive community treatment program, per diem | 30% | 65,169 | 8,667 | $14.27M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 25% | 77,383 | 7,560 | $11.79M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 5.0% | 27,966 | 11,327 | $2.37M |
| H0038 | Self-help/peer services, per 15 minutes | 2.2% | 4,229 | 667 | $1.03M |
| 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 | 1.6% | 8,478 | 7,464 | $777K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 939 | 935 | $218K |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | <1% | 527 | 512 | $216K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 2,814 | 2,251 | $179K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 530 | 292 | $40K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 427 | 229 | $24K |
| 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% | 302 | 300 | $22K |
10 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 141 | $16K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 72 | $10K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 33 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 77 | $3K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 45 | $2K |
| 98968 | <1% | 54 | $2K | |
| 99406 | <1% | 54 | $602.36 | |
| 98966 | <1% | 13 | $136.66 | |
| H2015HT | 0% | 29 | $0.00 | |
| T1017 | Case management, billed per 15 minutes | 0% | 74 | $0.00 |
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 officialREID, TOM (CO-DIRECTOR)