Medicaid Provider Spending

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

CAROLINA BEHAVIORAL CARE

NPI: 1568523371 · DURHAM, NC 27704 · Psychiatry Physician · NPI assigned 12/13/2006

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

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

$6.22M
Total Medicaid Paid
78,753
Total Claims
53,943
Beneficiaries
18
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPESCE, ELISABETH (SECRETARY)
NPI Enumeration Date12/13/2006

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, PA HILLSBOROUGH NC $3.52M
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 12,588 $1.24M
2019 17,139 $1.30M
2020 13,457 $1.27M
2021 16,908 $1.40M
2022 9,007 $567K
2023 8,475 $368K
2024 1,179 $75K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 22,542 16,168 $3.25M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 25,952 18,465 $1.41M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,151 15,117 $1.10M
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 2,446 1,486 $278K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,470 1,145 $59K
90837 Psychotherapy, 53 minutes with patient 1,627 494 $49K
99205 Prolong outpt/office vis 343 225 $34K
99215 Prolong outpt/office vis 60 12 $22K
99406 531 350 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 27 25 $3K
96137 17 14 $3K
96130 16 13 $2K
99214GT 12 12 $1K
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 17 15 $992.53
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 469 358 $851.25
90834 Psychotherapy, 45 minutes with patient 39 13 $741.15
96136 17 14 $567.93
Q3014 Telehealth originating site facility fee 17 17 $336.31