Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

NPI: 1568524031 · DURHAM, NC 27707 · Mental Health Counselor · NPI assigned 12/14/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$8.29M
Total Medicaid Paid
37,254
Total Claims
5,354
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDWARDS, RICHARD (CONTRACT ADMINISTRATOR)
NPI Enumeration Date12/14/2006

Related Entities

Other providers sharing the same authorized official: EDWARDS, RICHARD

ProviderCityStateTotal Paid
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. MORGANTON NC $9.07M
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. LILLINGTON NC $8.07M
EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION JENNINGS LA $1.96M
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. CHARLOTTE NC $778K
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. GREENVILLE NC $221K
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. RALEIGH NC $112K
LIFE SUPPORT SYSTEMS INC CLEARWATER FL $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,829 $838K
2019 3,671 $935K
2020 4,773 $990K
2021 4,564 $1.01M
2022 5,565 $1.20M
2023 9,928 $1.97M
2024 5,924 $1.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 37,254 5,354 $8.29M