Agency
Triad Therapy Mental Health Center
Triad Therapy Mental Health Center was paid $6.13M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 51% of everything it billed.
33Billing provider infoTRIAD THERAPY MENTAL HEALTH CENTER
N WILKESBORO, NC 28659
N WILKESBORO, NC 28659
33aNPI1588833701assigned 02/21/2008
33bProvider typeCase Management Agency
28Total paid$6.13M
24GClaims54,798
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#47 of 195
Median peer was paid$2.05M
This provider vs. median3.0×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,215 | $624K | |
| 2019 | 9,186 | $846K | |
| 2020 | 10,873 | $1.13M | |
| 2021 | 13,493 | $1.39M | |
| 2022 | 7,207 | $835K | |
| 2023 | 2,974 | $517K | |
| 2024incomplete | 2,850 | $781K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 51% | 13,643 | 1,108 | $3.12M |
| 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 | 23% | 14,944 | 6,816 | $1.44M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 6.3% | 5,842 | 2,956 | $385K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 3.5% | 1,788 | 500 | $215K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.4% | 3,329 | 2,230 | $210K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.4% | 5,855 | 3,193 | $209K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 2.4% | 682 | 666 | $145K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.1% | 1,185 | 933 | $132K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.4% | 2,280 | 1,543 | $88K |
| 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% | 1,099 | 519 | $65K |
| 99442 | <1% | 1,100 | 684 | $37K | |
| 80306 | <1% | 1,529 | 857 | $27K |
7 more codes
| 98967 | <1% | 1,082 | $25K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 217 | $20K |
| 99443 | <1% | 87 | $5K | |
| 99205 | Prolong outpt/office vis | <1% | 21 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 52 | $2K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 20 | $873.81 |
| 98966 | <1% | 43 | $561.58 |
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.
From NPPES
Who's on the registration
Authorized officialSMILING, QUINCY (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Triad Therapy, LLC | Winston Salem, NC | $164K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.