Medicaid Provider Spending

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

FOCUS BEHAVIORAL HEALTH SERVICES, LLC

NPI: 1578832549 · HUDSON, NC 28638 · Community/Behavioral Health Agency · NPI assigned 12/21/2011

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

100% of spending on code H2012 with only 2 total codes billed. Highly concentrated billing profile.

$4.55M
Total Medicaid Paid
24,134
Total Claims
1,381
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOUGLAS, PAMELA (DIRECTOR)
NPI Enumeration Date12/21/2011

Related Entities

Other providers sharing the same authorized official: DOUGLAS, PAMELA

ProviderCityStateTotal Paid
FOCUS BEHAVIORAL HEALTH SERVICES, LLC DREXEL NC $4.10M
FOCUS BEHAVIORAL HEALTH SERVICES MORGANTON NC $2.24M
FOCUS BEHVIORAL HEALTH SERVICES, LLC MORGANTON NC $908K
FOCUS BEHAVIORAL HEALTH SERVICES, LLC LENOIR NC $589K
FOCUS BEHAVIORAL HEALTH SERVICES, LLC LENOIR NC $65K
FOCUS BEHAVIORAL HEALTH SERVICES, LLC BLOWING ROCK NC $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,896 $698K
2019 3,918 $682K
2020 2,865 $515K
2021 3,560 $658K
2022 3,095 $573K
2023 4,265 $806K
2024 2,535 $614K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2012 Behavioral health day treatment, per hour 24,090 1,366 $4.54M
H2012HA 44 15 $8K