Primary Health Choice, INC.
Primary Health Choice, INC. was paid $6.14M by Medicaid between Nov 2022 and Nov 2024, across 14 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 59% of everything it billed.
LUMBERTON, NC 28358
Next to other Addiction (Substance Use Disorder) 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 | |
|---|---|---|---|
| 2022 | 612 | $146K | |
| 2023 | 11,028 | $2.24M | |
| 2024incomplete | 15,631 | $3.75M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 59% | 13,042 | 11,148 | $3.62M |
| H2022 | Community-based wrap-around services, per diem | 27% | 6,032 | 557 | $1.68M |
| H0038 | Self-help/peer services, per 15 minutes | 8.4% | 3,349 | 533 | $518K |
| T2013 | Habilitation, educational, waiver; per hour | 1.2% | 522 | 41 | $74K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 305 | 299 | $50K |
| 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 | <1% | 590 | 531 | $40K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 574 | 405 | $35K |
| Q3014 | Telehealth originating site facility fee | <1% | 1,623 | 1,080 | $31K |
| 96130 | <1% | 193 | 169 | $26K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 636 | 453 | $23K |
| 96137 | <1% | 180 | 155 | $23K | |
| 96136 | <1% | 167 | 158 | $7K |
2 more codes
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 |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.