Behavioral
Direct Realistic Counseling Service
Direct Realistic Counseling Service was paid $219K by Medicaid between Oct 2020 and Dec 2024, across 9 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 39% of everything it billed.
33Billing provider infoDIRECT REALISTIC COUNSELING SERVICE
GARNER, NC 27529
GARNER, NC 27529
33aNPI1760039937assigned 08/22/2019
33bProvider typeProfessional Counselor
28Total paid$219K
24GClaims13,961
24DCodes billed9
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in North Carolina
Rank by total paid#78 of 214
Median peer was paid$108K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 131 | $17K | |
| 2021 | 785 | $49K | |
| 2022 | 2,596 | $47K | |
| 2023 | 4,357 | $57K | |
| 2024incomplete | 6,092 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99199 | Unlisted special service, procedure or report | 39% | 12,528 | 6,336 | $85K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 22% | 606 | 158 | $48K |
| 99493 | 18% | 308 | 284 | $39K | |
| 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 | 9.5% | 232 | 182 | $21K |
| 99245 | 6.1% | 78 | 71 | $13K | |
| 99243 | 4.0% | 136 | 107 | $9K | |
| 99492 | <1% | 14 | 12 | $2K | |
| 99349 | <1% | 17 | 17 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 42 | 26 | $1K |
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 officialCROMWELL, DAMEN (OWNER)