Medicaid Provider Spending

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

PRIMARY HEALTH CHOICE, INC.

NPI: 1609182575 · LUMBERTON, NC 28358 · Addiction (Substance Use Disorder) Counselor · NPI assigned 08/30/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LOCKLEAR, ASHLEY controls 20+ related entities in our dataset. Read more

$6.14M
Total Medicaid Paid
27,271
Total Claims
15,581
Beneficiaries
14
Codes Billed
2022-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOCKLEAR, ASHLEY (CFO)
NPI Enumeration Date08/30/2010

Related Entities

Other providers sharing the same authorized official: LOCKLEAR, ASHLEY

ProviderCityStateTotal Paid
PRIMARY HEALTH CHOICE, INC. LUMBERTON NC $93.14M
A PRIMARY CHOICE, INC. MONROE NC $70.92M
A PRIMARY CHOICE LUMBERTON NC $15.53M
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
PRIMARY HEALTH CHOICE, INC. LUMBERTON NC $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 612 $146K
2023 11,028 $2.24M
2024 15,631 $3.75M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 13,042 11,148 $3.62M
H2022 Community-based wrap-around services, per diem 6,032 557 $1.68M
H0038 Self-help/peer services, per 15 minutes 3,349 533 $518K
T2013 Habilitation, educational, waiver; per hour 522 41 $74K
90791 Psychiatric diagnostic evaluation 305 299 $50K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 590 531 $40K
90834 Psychotherapy, 45 minutes with patient 574 405 $35K
Q3014 Telehealth originating site facility fee 1,623 1,080 $31K
96130 193 169 $26K
90832 Psychotherapy, 30 minutes with patient 636 453 $23K
96137 180 155 $23K
96136 167 158 $7K
99205 Prolong outpt/office vis 30 26 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 28 26 $1K