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

Progressive Care Services INC

Progressive Care Services INC was paid $5.09M by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is H2012, Behavioral health day treatment, per hour — 70% of everything it billed.

33Billing provider infoPROGRESSIVE CARE SERVICES INC
ROCKY MOUNT, NC 27804
33aNPI1760620520assigned 01/31/2009
28Total paid$5.09M
24GClaims34,606
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

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

Rank by total paid#4 of 18
Median peer was paid$812K
This provider vs. median6.3×

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$50K$100K$150K2018201920202021202220232024
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
20185,652$837K
20196,544$917K
20205,991$788K
20212,508$293K
20225,219$852K
20234,530$676K
2024incomplete4,162$729K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2012 Behavioral health day treatment, per hour 70% 20,359 1,230 $3.58M
H2022 Community-based wrap-around services, per diem 17% 3,868 388 $890K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 6.4% 4,461 3,323 $326K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.5% 3,840 3,676 $179K
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 1.2% 953 861 $60K
99205 Prolong outpt/office vis <1% 246 246 $35K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 101 82 $9K
Q3014 Telehealth originating site facility fee <1% 520 506 $9K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 24 24 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 179 172 $3K
80305 <1% 55 52 $734.94

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 officialMOORE, VICTOR (EXECUTIVE DIRECTOR)