Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

PHP of NC, INC

PHP of NC, INC was paid $12.74M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is T2021, day program for adults with developmental disabilities, per 15 minutes — 66% of everything it billed.

33Billing provider infoPHP OF NC, INC
DURHAM, NC 27704
33aNPI1679682421assigned 08/29/2006
28Total paid$12.74M
24GClaims107,931
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in North Carolina

Rank by total paid#3 of 27
Median peer was paid$1.10M
This provider vs. median12×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201814,271$1.56M
201915,817$1.74M
202014,354$1.62M
202114,271$1.74M
202213,382$1.57M
202319,035$2.63M
2024incomplete16,801$1.87M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 66% 62,873 2,833 $8.38M
T2013 Habilitation, educational, waiver; per hour 18% 23,494 1,028 $2.33M
T2012 Habilitation, educational; waiver, per diem 15% 19,295 700 $1.87M
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes <1% 1,473 281 $97K
99509 Home visit for assistance with activities of daily living and personal care <1% 415 38 $36K
S5125 Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes <1% 381 38 $34K

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 officialWIGGINS, JUSTINE (EXECUTIVE DIRECTOR)
Same official

Other billing entities under WIGGINS, JUSTINE

Full network →
ProviderLocationPaid
PHP of Nc,incZebulon, NC$6.22M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.