Primary Health Choice, INC.
Primary Health Choice, INC. was paid $132K by Medicaid between Jan 2018 and Feb 2023, across 10 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 35% of everything it billed.
LUMBERTON, NC 28358
Next to other Community/Behavioral Health Agency 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 | 352 | $18K | |
| 2019 | 769 | $33K | |
| 2020 | 1,489 | $32K | |
| 2021 | 1,114 | $27K | |
| 2022 | 712 | $21K | |
| 2023 | 95 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 35% | 1,427 | 1,159 | $47K |
| 98968 | 16% | 813 | 579 | $21K | |
| 99442 | 12% | 669 | 619 | $16K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 12% | 246 | 211 | $15K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 9.2% | 328 | 256 | $12K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 6.6% | 94 | 94 | $9K |
| Q3014 | Telehealth originating site facility fee | 5.0% | 324 | 244 | $7K |
| 98967 | 3.9% | 297 | 190 | $5K | |
| 99441 | <1% | 29 | 29 | $335.33 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 304 | 235 | $235.25 |
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 | $82K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.