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

TLC Group, LLC

TLC Group, LLC was paid $2.04M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is A4351, Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each — 23% of everything it billed.

33Billing provider infoTLC GROUP, LLC
GASTONIA, NC 28054
33aNPI1811280498assigned 05/16/2011
28Total paid$2.04M
24GClaims35,129
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in North Carolina

Rank by total paid#47 of 780
Median peer was paid$5K
This provider vs. median413×

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$20K$40K$60K2018201920202021202220232024
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
20185,538$388K
20194,978$278K
20205,750$334K
20216,065$359K
20225,078$247K
20234,101$246K
2024incomplete3,619$187K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 23% 3,866 2,762 $465K
A4353 Intermittent urinary catheter, with insertion supplies 17% 561 411 $356K
A4554 Disposable underpads, all sizes 12% 4,320 3,740 $245K
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each 7.6% 2,201 1,780 $155K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 6.2% 987 885 $125K
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each 5.0% 1,023 846 $101K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 4.8% 717 619 $97K
A9270 Non-covered item or service 4.4% 50 40 $89K
A4453 Rectal catheter with or without balloon, for use with any type transanal irrigation system, each 2.4% 34 26 $48K
A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each 2.1% 1,056 837 $43K
A4927 Gloves, non-sterile, per 100 1.9% 2,121 1,847 $39K
A4217 Sterile water/saline, 500 ml 1.9% 560 431 $38K
18 more codes
A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce 1.6% 2,171 $32K
A4456 Adhesive remover, wipes, any type, each 1.3% 3,495 $27K
A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each <1% 301 $19K
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each <1% 299 $19K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 1,818 $18K
A4352 Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each <1% 36 $17K
A4452 Tape, waterproof, per 18 square inches <1% 1,106 $17K
A4459 Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type <1% 94 $15K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each <1% 120 $14K
A5120 Skin barrier, wipes or swabs, each <1% 3,110 $13K
A4406 Ostomy skin barrier, pectin-based, paste, per ounce <1% 1,180 $13K
A4362 Skin barrier; solid, 4 x 4 or equivalent; each <1% 240 $11K
A4371 Ostomy skin barrier, powder, per oz <1% 1,908 $9K
A4358 Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each <1% 854 $6K
A4367 Ostomy belt, each <1% 778 $3K
A4213 Syringe, sterile, 20 cc or greater, each <1% 93 $2K
E0202 Phototherapy (bilirubin) light with photometer <1% 14 $2K
A4402 Lubricant, per ounce <1% 16 $51.31

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 officialMCPHERSON, LAURA (MANAGING MEMBER)