Behavioral
Pivotal Health Solutions
Pivotal Health Solutions was paid $494K by Medicaid between Jan 2023 and Dec 2024, across 1 billing code. Its largest line is T1017, case management, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoPIVOTAL HEALTH SOLUTIONS
CONCORD, NC 28025
CONCORD, NC 28025
33aNPI1669013041assigned 10/07/2019
33bProvider typeMental Health Counselor
28Total paid$494K
24GClaims1,827
24DCodes billed1
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in North Carolina
Rank by total paid#120 of 321
Median peer was paid$192K
This provider vs. median2.6×
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 | |
|---|---|---|---|
| 2023 | 1,117 | $270K | |
| 2024incomplete | 710 | $224K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 100% | 1,827 | 1,154 | $494K |
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 officialCOX, SHAUN (CEO)