Primary Health Choice, INC.
Primary Health Choice, INC. was paid $82K by Medicaid between Jan 2018 and Feb 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
LUMBERTON, NC 28358
Next to other Counselor 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 | 961 | $51K | |
| 2019 | 337 | $14K | |
| 2020 | 137 | $8K | |
| 2022 | 79 | $5K | |
| 2023 | 59 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 676 | 622 | $46K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 325 | 285 | $13K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 12% | 241 | 198 | $10K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.9% | 67 | 65 | $5K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 4.2% | 199 | 171 | $3K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 3.8% | 51 | 48 | $3K |
| 99205 | Prolong outpt/office vis | 2.3% | 14 | 14 | $2K |
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 |
|---|---|---|
| Primary Health Choice, INC. | Lumberton, NC | $93.14M |
| A Primary Choice, INC. | Monroe, NC | $70.92M |
| A Primary Choice | Lumberton, NC | $15.53M |
| Primary Health Choice, INC. | Lumberton, NC | $6.14M |
| A Primary Choice, INC. | Laurinburg, NC | $4.48M |
| A Primary Choice, INC. | Sanford, NC | $3.49M |
| A Primary Choice, INC. | Winston Salem, NC | $2.64M |
| A Primary Choice, INC. | Wadesboro, NC | $2.28M |
| A Primary Choice, INC. | Greensboro, NC | $1.81M |
| A Primary Choice, INC. | Asheboro, NC | $1.63M |
| A Primary Choice, INC. | Pembroke, NC | $1.60M |
| A Primary Choice, INC. | Burlington, NC | $815K |
| A Primary Choice, INC. | Monroe, NC | $639K |
| A Primary Choice, INC. | Tarboro, NC | $516K |
| A Primary Choice, INC. | Lenoir, NC | $260K |
| A Primary Choice, INC. | Kinston, NC | $217K |
| A Primary Choice, INC. | Forest City, NC | $184K |
| A Primary Choice, INC. | Red Springs, NC | $144K |
| A Primary Choice, INC. | Greenville, NC | $133K |
| Primary Health Choice, INC. | Lumberton, NC | $132K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.