Behavioral
William Y. Carlton
William Y. Carlton was paid $629K by Medicaid between Jan 2018 and May 2020, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 79% of everything it billed.
33Billing provider infoWILLIAM Y. CARLTON
WINSTON SALEM, NC 27103
WINSTON SALEM, NC 27103
33aNPI1821117268assigned 03/28/2007
33bProvider typeMental Health Counselor
28Total paid$629K
24GClaims4,228
24DCodes billed3
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Mental Health Counselor providers in North Carolina
Rank by total paid#107 of 321
Median peer was paid$192K
This provider vs. median3.3×
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
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 | |
|---|---|---|---|
| 2018 | 2,092 | $298K | |
| 2019 | 1,675 | $254K | |
| 2020 | 461 | $77K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 79% | 3,066 | 709 | $499K |
| 99223 | Prolong inpt eval add15 m | 14% | 607 | 571 | $91K |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.1% | 555 | 539 | $39K |
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 officialVALENTINCARLTON, PILAR (OFFICE MANAGER)