Medicaid Provider Spending

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

INPATIENT CONSULTANTS OF NORTH CAROLINA, PC

NPI: 1669422846 · CHARLOTTE, NC 28207 · Psychologist · NPI assigned 05/11/2006

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

Authorized official DABBS, RANDAL controls 20+ related entities in our dataset. Read more

$12.34M
Total Medicaid Paid
1,512,115
Total Claims
858,709
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDABBS, RANDAL (PRESIDENT)
NPI Enumeration Date05/11/2006

Related Entities

Other providers sharing the same authorized official: DABBS, RANDAL

ProviderCityStateTotal Paid
ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC MYRTLE BEACH SC $81.34M
HEALTH CARE ALLIANCE, INC. BECKLEY WV $25.07M
SOUTHEASTERN EMERGENCY SERVICES P C ATHENS TN $21.67M
GREENBRIER EMERGENCY SERVICES, INC. GASSAWAY WV $18.20M
SOUTHEASTERN PHYSICIAN SERVICES PC OAK RIDGE TN $14.64M
EMERGENCY SERVICES OF MONTGOMERY PC PRATTVILLE AL $13.70M
SOUTHEASTERN INTENSIVIST SERVICES PC WEST MEMPHIS AR $11.52M
EMERGENCY COVERAGE SERVICES, PC LAWRENCEBURG TN $11.42M
IPC PAC HEALTHCARE SERVICES OF TENNESSEE PC BRISTOL TN $8.64M
ACS EMERGENCY PHYSICIANS OF SC PC BEAUFORT SC $4.53M
SOUTHEASTERN EMERGENCY SERVICES OF MEMPHIS, P.C. CHATTANOOGA TN $3.75M
HOSPITAL MEDICINE SERVICES OF TENNESSEE PC LAWRENCEBURG IN $3.73M
ACS PRIMARY CARE PHYSICIANS-MIDWEST LEXINGTON KY $3.55M
ACS EMERGENCY SERVICES OF MISSISSIPPI PROFESSIONAL ASSOCIATION CLEVELAND MS $3.10M
IPC PAC HEALTHCARE SERVICES OF MISSOURI INC SAINT LOUIS MO $1.47M
CHEROKEE EMERGENCY SERVICES, INC. BECKLEY WV $853K
SOUTH CAROLINA POST ACUTE MEDICAL SERVICES 1 PC WOODRUFF SC $776K
INPATIENT CONSULTANTS OF ALABAMA, INC MOBILE AL $554K
SMOKY MOUNTAIN EMERGENCY SERVICES, INC. DANIELS WV $347K
SOUTHEASTERN MEDICAL GROUP, PC BREVARD NC $316K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 277,956 $1.59M
2019 302,262 $2.22M
2020 249,187 $2.49M
2021 189,925 $1.81M
2022 109,988 $1.20M
2023 159,539 $1.35M
2024 223,258 $1.67M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99309 Subsequent nursing facility care, per day, low to moderate complexity 639,967 250,186 $7.91M
99308 Subsequent nursing facility care, per day, straightforward 248,350 107,102 $2.18M
99199 Unlisted special service, procedure or report 305,978 300,944 $931K
99306 Prolong nursin fac eval 15m 11,307 6,398 $259K
99336 18,856 7,780 $245K
99305 7,600 4,440 $163K
99335 13,366 5,878 $151K
90832 Psychotherapy, 30 minutes with patient 39,377 10,271 $131K
99310 Prolong nursin fac eval 15m 6,402 3,075 $131K
99307 11,826 5,424 $68K
90792 Psychiatric diagnostic evaluation with medical services 7,060 3,749 $49K
99349 1,222 607 $33K
90834 Psychotherapy, 45 minutes with patient 3,554 1,371 $20K
90837 Psychotherapy, 53 minutes with patient 1,952 721 $16K
99334 1,362 529 $14K
99318 1,121 585 $11K
99348 495 285 $9K
99497 1,656 1,119 $7K
90791 Psychiatric diagnostic evaluation 523 300 $7K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 583 397 $2K
99304 42 26 $1K
94004 202 109 $1K
99316 22 12 $176.10
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 28 16 $122.52
99406 213 125 $10.34
G8482 Influenza immunization administered or previously received 18,240 14,047 $0.00
3288F 9,891 9,814 $0.00
0518F 10,441 10,417 $0.00
1100F 10,247 10,223 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 99,409 65,932 $0.00
G9368 At least two orders for high-risk medications from the same drug class not ordered 357 352 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 7,052 5,139 $0.00
G8731 Pain assessment using a standardized tool is documented as negative, no follow-up plan required 2,823 2,052 $0.00
G8484 Influenza immunization was not administered, reason not given 1,201 712 $0.00
G8442 Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter 31 31 $0.00
G9916 Functional status performed once in the last 12 months 910 859 $0.00
G8730 Pain assessment documented as positive using a standardized tool and a follow-up plan is documented 28 26 $0.00
G9919 Screening performed and positive and provision of recommendations 585 552 $0.00
G9920 Screening performed and negative 189 181 $0.00
G9718 Hospice services for patient provided any time during the measurement period 13 13 $0.00
1124F 44 44 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 116 105 $0.00
G0032 Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics 39 37 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 30 14 $0.00
G9692 Hospice services received by patient any time during the measurement period 12 12 $0.00
G0459 Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy 13 13 $0.00
1123F 21,254 21,168 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 705 680 $0.00
G9717 Documentation stating the patient has had a diagnosis of bipolar disorder 3,217 3,214 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 708 549 $0.00
G8430 Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) 154 129 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 573 232 $0.00
1036F 455 455 $0.00
G9367 At least two orders for high-risk medications from the same drug class 39 37 $0.00
G9720 Hospice services for patient occurred any time during the measurement period 13 13 $0.00
G8967 Fda approved oral anticoagulant is prescribed 174 155 $0.00
G8732 No documentation of pain assessment, reason not given 76 41 $0.00
3044F 12 12 $0.00