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

Carolina Therapeutic Services, INC

Carolina Therapeutic Services, INC was paid $46.59M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is S5145, Foster care, therapeutic, child; per diem — 71% of everything it billed.

33Billing provider infoCAROLINA THERAPEUTIC SERVICES, INC
GASTONIA, NC 28054
33aNPI1720247570assigned 06/06/2008
28Total paid$46.59M
24GClaims311,808
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Adolescent and Children Mental Health Clinic/Center providers in North Carolina

Rank by total paid#1 of 18
Median peer was paid$812K
This provider vs. median57×

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$1.0M$2.0M2018201920202021202220232024
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
201826,994$2.43M
201934,669$3.61M
202037,920$4.97M
202137,664$5.80M
202244,769$7.02M
202364,902$11.19M
2024incomplete64,890$11.58M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5145 Foster care, therapeutic, child; per diem 71% 204,618 6,937 $33.27M
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 11% 35,096 3,510 $5.29M
H0032 Mental health service plan development by non-physician 4.3% 2,854 2,230 $2.02M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 3.7% 16,991 7,360 $1.73M
H2014 Skills training and development, per 15 minutes 2.2% 8,604 1,446 $1.02M
S9482 Family stabilization services, per 15 minutes 1.5% 10,986 2,331 $686K
90847 Family psychotherapy with the patient present, 50 minutes 1.1% 4,690 1,786 $501K
90846 Family psychotherapy without the patient present, 50 minutes <1% 4,292 1,752 $459K
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 <1% 6,442 4,742 $437K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 4,578 2,667 $290K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 1,577 1,374 $190K
H0036 Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes <1% 1,720 181 $177K
16 more codes
0183 <1% 1,116 $97K
90832 Psychotherapy session, about 30 minutes <1% 1,670 $77K
99213 Doctor's office visit, returning patient (routine) <1% 1,523 $68K
H2000 Comprehensive multidisciplinary evaluation <1% 451 $66K
99215 Doctor's office visit, returning patient (complex) <1% 574 $55K
S5145HA <1% 115 $30K
H0045 Respite care services, not in the home, per diem <1% 449 $29K
99205 Prolong outpt/office vis <1% 258 $29K
99204 Doctor's office visit, new patient (more involved) <1% 206 $21K
90792 Psychiatric diagnostic evaluation with medical services <1% 149 $20K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 584 $14K
96127 <1% 2,041 $7K
99203 Doctor's office visit, new patient (routine) <1% 88 $5K
H0031 Mental health assessment, by non-physician <1% 43 $3K
99441 <1% 80 $241.70
90785 <1% 13 $116.44

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 officialSUTTON, CLARENCE (EXECUTIVE DIRECTOR)
Same official

Other billing entities under SUTTON, CLARENCE

Full network →
ProviderLocationPaid
Carolina Therapeutic Services, INCChicago, IL$62.36M
Carolina Therapeutic Services, INCChicago, IL$3.74M

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