NP / PA
My Peace Keeper INC
My Peace Keeper INC was paid $1.21M by Medicaid between Jan 2018 and Feb 2020, across 3 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 99% of everything it billed.
33Billing provider infoMY PEACE KEEPER INC
CHARLOTTE, NC 28227
CHARLOTTE, NC 28227
33aNPI1679802631assigned 12/21/2009
28Total paid$1.21M
24GClaims14,346
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2020
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration99% of spending on code T1017 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2018 | 8,663 | $729K | |
| 2019 | 5,221 | $442K | |
| 2020 | 462 | $37K |
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 | 99% | 14,259 | 8,679 | $1.20M |
| T1016 | Case management, each 15 minutes | <1% | 69 | 60 | $7K |
| H1017 | <1% | 18 | 18 | $1K |
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 officialPOUGH, VIRGINIA (EXECUTIVE DIRECTOR)