Coastal Behavior Health Services, INC.

Coastal Behavior Health Services, INC. was paid $1.51M by Medicaid between Jan 2018 and Sep 2021, across 1 billing code. Its largest line is S5145, Foster care, therapeutic, child; per diem — 100% of everything it billed.

33Billing provider infoCOASTAL BEHAVIOR HEALTH SERVICES, INC.
FAYETTEVILLE, NC 28303

33aNPI1720276868assigned 10/12/2007

33bProvider typeMental Illness Community Based Residential Treatment Facility

28Total paid$1.51M

24GClaims7,982

24DCodes billed1

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in North Carolina

Rank by total paid#6 of 23

Median peer was paid$709K

This provider vs. median2.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S5145 with only 1 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	2,669	$527K
2019	2,319	$368K
2020	2,348	$394K
2021	646	$226K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5145	Foster care, therapeutic, child; per diem	100%	7,982	574	$1.51M

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 officialMARSHALL, DUANA (EXECUTIVE DIRECTOR/CEO)