Medicaid Provider Spending

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

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

NPI: 1801108105 · LILLINGTON, NC 27546 · Community/Behavioral Health Agency · NPI assigned 07/02/2010

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

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$8.07M
Total Medicaid Paid
39,488
Total Claims
5,481
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDWARDS, RICHARD (CONTRACT ADMINISTRATOR)
NPI Enumeration Date07/02/2010

Related Entities

Other providers sharing the same authorized official: EDWARDS, RICHARD

ProviderCityStateTotal Paid
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. MORGANTON NC $9.07M
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. DURHAM NC $8.29M
EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION JENNINGS LA $1.96M
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. CHARLOTTE NC $778K
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. GREENVILLE NC $221K
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. RALEIGH NC $112K
LIFE SUPPORT SYSTEMS INC CLEARWATER FL $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,713 $875K
2019 6,141 $1.10M
2020 5,789 $1.18M
2021 6,741 $1.27M
2022 5,308 $1.05M
2023 6,923 $1.36M
2024 4,873 $1.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 39,488 5,481 $8.07M