Behavioral
Optum Behavioral Care of North Carolina, PC
Optum Behavioral Care of North Carolina, PC was paid $359K by Medicaid between Mar 2024 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.
33Billing provider infoOPTUM BEHAVIORAL CARE OF NORTH CAROLINA, PC
HILLSBOROUGH, NC 27278
HILLSBOROUGH, NC 27278
33aNPI1629843933assigned 11/16/2023
33bProvider typeCounseling Psychologist
28Total paid$359K
24GClaims5,967
24DCodes billed7
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Counseling Psychologist providers in North Carolina
Rank by total paid#2 of 5
Median peer was paid$199K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2024incomplete | 5,967 | $359K |
Box 24 · Service lines
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 | 67% | 3,542 | 3,212 | $242K |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 11% | 679 | 630 | $41K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 10% | 1,025 | 944 | $37K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.1% | 430 | 227 | $26K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 261 | 253 | $13K |
| 99205 | Prolong outpt/office vis | <1% | 12 | 12 | $859.34 |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | <1% | 18 | 13 | $244.83 |
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 officialSTEELMAN, VIRGINIA (AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Optum Behavioral Care of North Carolina, PC | Jonesboro, AR | $385K |
| Optum Behavioral Care of North Carolina, PC | Durham, NC | $15K |
| Discovery Counseling and Consulting LLC | Henrico, VA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.