Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

A PRIMARY CHOICE, INC.

NPI: 1740796291 · PEMBROKE, NC 28372 · In Home Supportive Care Agency · NPI assigned 12/20/2017

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official LOCKLEAR, ASHLEY controls 20+ related entities in our dataset. Read more

$1.60M
Total Medicaid Paid
37,831
Total Claims
1,256
Beneficiaries
1
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOCKLEAR, ASHLEY (CFO)
Parent OrganizationA PRIMARY CHOICE, INC.
NPI Enumeration Date12/20/2017

Related Entities

Other providers sharing the same authorized official: LOCKLEAR, ASHLEY

ProviderCityStateTotal Paid
PRIMARY HEALTH CHOICE, INC. LUMBERTON NC $93.14M
A PRIMARY CHOICE, INC. MONROE NC $70.92M
A PRIMARY CHOICE LUMBERTON NC $15.53M
PRIMARY HEALTH CHOICE, INC. LUMBERTON NC $6.14M
A PRIMARY CHOICE, INC. LAURINBURG NC $4.48M
A PRIMARY CHOICE, INC. SANFORD NC $3.49M
A PRIMARY CHOICE, INC. WINSTON SALEM NC $2.64M
A PRIMARY CHOICE, INC. WADESBORO NC $2.28M
A PRIMARY CHOICE, INC. GREENSBORO NC $1.81M
A PRIMARY CHOICE, INC. ASHEBORO NC $1.63M
A PRIMARY CHOICE, INC. BURLINGTON NC $815K
A PRIMARY CHOICE, INC. MONROE NC $639K
A PRIMARY CHOICE, INC. TARBORO NC $516K
A PRIMARY CHOICE, INC. LENOIR NC $260K
A PRIMARY CHOICE, INC. KINSTON NC $217K
A PRIMARY CHOICE, INC. FOREST CITY NC $184K
A PRIMARY CHOICE, INC. RED SPRINGS NC $144K
A PRIMARY CHOICE, INC. GREENVILLE NC $133K
PRIMARY HEALTH CHOICE, INC. LUMBERTON NC $132K
PRIMARY HEALTH CHOICE, INC. LUMBERTON NC $82K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 286 $9K
2019 3,224 $129K
2020 5,494 $232K
2021 9,088 $296K
2022 9,628 $397K
2023 6,109 $331K
2024 4,002 $200K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 37,831 1,256 $1.60M