Medicaid Provider Spending

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

CAROLINA BEHAVIORAL CARE

NPI: 1831414978 · DURHAM, NC 27704 · Professional Counselor · NPI assigned 04/01/2010

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PESCE, ELISABETH controls 14+ related entities in our dataset. Read more

$676K
Total Medicaid Paid
9,574
Total Claims
8,402
Beneficiaries
10
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialPESCE, ELISABETH (SECRETARY)
NPI Enumeration Date04/01/2010

Related Entities

Other providers sharing the same authorized official: PESCE, ELISABETH

ProviderCityStateTotal Paid
ADVANCED THERAPY ASSOCIATES, LLC OKLAHOMA CITY OK $12.62M
NEW PERSPECTIVES CENTER FOR COUNSELING & THERAPY SALEM OR $11.84M
CAROLINA BEHAVIORAL CARE DURHAM NC $6.22M
CAROLINA BEHAVIORAL CARE, PA HILLSBOROUGH NC $3.52M
LIFESOLUTIONS COUNSELING ASSOCIATES, P.C. CARMEL IN $2.27M
CAROLINA BEHAVIORAL CARE PINEHURST NC $1.44M
CAROLINA BEHAVIORAL CARE, PA PINEHURST NC $1.38M
SUNDANCE BEHAVIORAL RESOURCES, LLC MURRAY UT $467K
FAMILY COUNSELING ASSOCIATES OF SALEM ANDOVER LLC ANDOVER MA $454K
COASTAL COUNSELING CENTER INC CHESAPEAKE VA $443K
REFRESH CANOPY COVE INC. SARASOTA FL $332K
EUGENE THERAPY LLC EUGENE OR $108K
XPLOR COUNSELING, LLC HONOLULU HI $8K
CARROLL COUNSELING CENTER, LLC ELDERSBURG MD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,425 $145K
2019 3,472 $200K
2020 1,546 $128K
2021 1,234 $114K
2022 514 $54K
2023 383 $34K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,575 6,802 $594K
90837 Psychotherapy, 53 minutes with patient 419 291 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 410 382 $17K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 132 51 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 82 82 $9K
90791 Psychiatric diagnostic evaluation 92 92 $9K
90834 Psychotherapy, 45 minutes with patient 130 113 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 588 524 $6K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 132 51 $3K
99205 Prolong outpt/office vis 14 14 $2K