Paradigm, INC.

Paradigm, INC. was paid $37.79M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 34% of everything it billed.

33Billing provider infoPARADIGM, INC.
GREENVILLE, NC 27834

33aNPI1689742751assigned 11/30/2006

33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

28Total paid$37.79M

24GClaims137,303

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

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

Rank by total paid#3 of 26

Median peer was paid$4.18M

This provider vs. median9.1×

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
2018	11,367	$2.08M
2019	14,147	$2.65M
2020	16,882	$3.82M
2021	18,557	$4.57M
2022	23,451	$6.86M
2023	25,190	$8.28M
2024incomplete	27,709	$9.53M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)	34%	35,677	1,797	$12.86M
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	27%	16,814	1,365	$10.31M
T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	22%	50,059	2,387	$8.45M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	7.3%	5,905	275	$2.75M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	7.0%	26,433	1,470	$2.65M
T2020	Day habilitation, waiver; per diem	1.8%	802	136	$664K
H0045	Respite care services, not in the home, per diem	<1%	460	36	$77K
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	<1%	921	98	$35K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	232	85	$2K

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 officialBARNETT, JASON (EXECUTIVE DIRECTOR)