Carolina Behavioral Care
Carolina Behavioral Care was paid $6.22M by Medicaid between Jan 2018 and Feb 2024, across 18 billing codes. Its largest line is 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 — 52% of everything it billed.
DURHAM, NC 27704
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 | 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 | |
| 2024incomplete | 1,179 | $75K |
What it billed for
| Code | Service | Share | Claims | Bene. records | 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 | 52% | 22,542 | 16,168 | $3.25M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 23% | 25,952 | 18,465 | $1.41M |
| 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 | 18% | 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 | 4.5% | 2,446 | 1,486 | $278K |
| 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% | 1,470 | 1,145 | $59K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 1,627 | 494 | $49K |
| 99205 | Prolong outpt/office vis | <1% | 343 | 225 | $34K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 60 | 12 | $22K |
| 99406 | <1% | 531 | 350 | $3K | |
| 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% | 27 | 25 | $3K |
| 96137 | <1% | 17 | 14 | $3K | |
| 96130 | <1% | 16 | 13 | $2K |
6 more codes
| 99214GT | <1% | 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 | <1% | 17 | $992.53 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 469 | $851.25 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 39 | $741.15 |
| 96136 | <1% | 17 | $567.93 | |
| Q3014 | Telehealth originating site facility fee | <1% | 17 | $336.31 |
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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.