Carolina Behavioral Care
Carolina Behavioral Care was paid $1.44M by Medicaid between Jan 2018 and Jan 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
PINEHURST, NC 28374
Next to other Professional 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 | |
|---|---|---|---|
| 2018 | 3,510 | $326K | |
| 2019 | 4,511 | $419K | |
| 2020 | 3,296 | $303K | |
| 2021 | 2,893 | $213K | |
| 2022 | 2,350 | $129K | |
| 2023 | 734 | $44K | |
| 2024incomplete | 62 | $6K |
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 | 60% | 11,369 | 9,403 | $861K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 22% | 3,287 | 2,585 | $313K |
| 99205 | Prolong outpt/office vis | 4.2% | 378 | 373 | $61K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 568 | 504 | $60K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.0% | 455 | 450 | $58K |
| 96101 | 1.6% | 62 | 49 | $23K | |
| 96131 | 1.1% | 72 | 67 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 225 | 205 | $12K |
| Q3014 | Telehealth originating site facility fee | <1% | 416 | 376 | $9K |
| 96137 | <1% | 43 | 43 | $9K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 211 | 194 | $8K |
| 96130 | <1% | 76 | 73 | $7K |
5 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 |
|---|---|---|
| Advanced Therapy Associates, LLC | Oklahoma City, OK | $12.62M |
| New Perspectives Center for Counseling & Therapy | Salem, OR | $11.84M |
| Carolina Behavioral Care | Durham, NC | $6.22M |
| Carolina Behavioral Care, PA | Hillsborough, NC | $3.52M |
| Lifesolutions Counseling Associates, P.C. | Carmel, IN | $2.27M |
| Carolina Behavioral Care, PA | Pinehurst, NC | $1.38M |
| Carolina Behavioral Care | Durham, NC | $676K |
| Sundance Behavioral Resources, LLC | Murray, UT | $467K |
| Family Counseling Associates of Salem Andover LLC | Andover, MA | $454K |
| Coastal Counseling Center INC | Chesapeake, VA | $443K |
| Refresh Canopy Cove INC. | Sarasota, FL | $332K |
| Eugene Therapy LLC | Eugene, OR | $108K |
| Xplor Counseling, LLC | Honolulu, HI | $8K |
| Carroll Counseling Center, LLC | Eldersburg, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.