Carter Clinic, P a
Carter Clinic, P a was paid $3.12M by Medicaid between Aug 2018 and Dec 2024, across 13 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 38% of everything it billed.
LUMBERTON, NC 28358
Next to other Psychiatry Physician providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 983 | $61K | |
| 2019 | 4,797 | $305K | |
| 2020 | 9,646 | $713K | |
| 2021 | 5,854 | $420K | |
| 2022 | 2,680 | $218K | |
| 2023 | 3,582 | $563K | |
| 2024incomplete | 1,602 | $841K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0040 | Assertive community treatment program, per diem | 38% | 1,713 | 670 | $1.18M |
| H0038 | Self-help/peer services, per 15 minutes | 31% | 8,961 | 1,384 | $961K |
| 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 | 9.7% | 3,796 | 2,238 | $303K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.1% | 3,648 | 2,039 | $284K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 4,709 | 2,745 | $237K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.5% | 1,515 | 799 | $79K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,920 | 926 | $29K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,635 | 802 | $25K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 257 | 195 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 51 | 51 | $6K |
| 99199 | Unlisted special service, procedure or report | <1% | 889 | 755 | $3K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 26 | 24 | $2K |
1 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 24 | $474.24 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Carter Clinic, P a | Raleigh, NC | $19.47M |
| Carter Clinic PA | Wilmington, NC | $3.16M |
| Carter Clinic, PA | Fayetteville, NC | $2.57M |
| Carter Clinic, PA | Red Springs, NC | $1.78M |
| Carter Clinic PA | Smithfield, NC | $1.51M |
| Carter Clinic, P.A. | Wilson, NC | $1.20M |
| Carter Clinic, P a | Elizabethtown, NC | $639K |
| Carter Clinic, P.A. | Shelby, NC | $149K |
| Carter Clinic PA | Laurinburg, NC | $111K |
| Carter Clinic, PA | Whiteville, NC | $63K |
| Carter Clinic, PA | Dunn, NC | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.