Behavioral
NSC Behavioral Concepts, LLC
NSC Behavioral Concepts, LLC was paid $3.97M by Medicaid between Jan 2018 and Feb 2021, across 2 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 100% of everything it billed.
33Billing provider infoNSC BEHAVIORAL CONCEPTS, LLC
SALISBURY, NC 28144
SALISBURY, NC 28144
33aNPI1700267622assigned 06/16/2015
33bProvider typeClinical Psychologist
28Total paid$3.97M
24GClaims32,064
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Clinical Psychologist providers in North Carolina
Rank by total paid#5 of 58
Median peer was paid$52K
This provider vs. median76×
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.
Single-Code Concentration100% of spending on code H0038 with only 2 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 | 15,515 | $1.89M | |
| 2019 | 11,377 | $1.59M | |
| 2020 | 4,861 | $467K | |
| 2021 | 311 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 100% | 31,999 | 2,958 | $3.97M |
| T1016 | Case management, each 15 minutes | <1% | 65 | 31 | $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 officialSHERRILL-CORRY, NICOLE (OWNER)