Agency
Primary Health Choice, INC.
Primary Health Choice, INC. was paid $93.14M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is T2013, Habilitation, educational, waiver; per hour — 70% of everything it billed.
33Billing provider infoPRIMARY HEALTH CHOICE, INC.
LUMBERTON, NC 28358
LUMBERTON, NC 28358
33aNPI1851539126assigned 01/26/2009
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$93.14M
24GClaims574,886
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#4 of 856
Median peer was paid$908K
This provider vs. median103×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LOCKLEAR, ASHLEY controls 20+ related entities in our dataset. Read more
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 | 75,334 | $11.20M | |
| 2019 | 69,800 | $10.69M | |
| 2020 | 67,504 | $10.91M | |
| 2021 | 74,084 | $11.21M | |
| 2022 | 96,696 | $14.79M | |
| 2023 | 103,765 | $15.94M | |
| 2024incomplete | 87,703 | $18.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2013 | Habilitation, educational, waiver; per hour | 70% | 379,493 | 14,249 | $65.48M |
| T2012 | Habilitation, educational; waiver, per diem | 23% | 119,993 | 4,444 | $21.02M |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 5.2% | 65,674 | 8,471 | $4.88M |
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | <1% | 3,700 | 534 | $638K |
| 99509 | Home visit for assistance with activities of daily living and personal care | <1% | 3,031 | 549 | $514K |
| H2022 | Community-based wrap-around services, per diem | <1% | 1,297 | 148 | $365K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 922 | 70 | $142K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | <1% | 280 | 139 | $48K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 109 | 109 | $37K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 154 | 79 | $10K |
| H0045 | Respite care services, not in the home, per diem | <1% | 69 | 12 | $7K |
| T1004 | Services of a qualified nursing aide, up to 15 minutes | <1% | 16 | 13 | $4K |
1 more codes
| Q3014 | Telehealth originating site facility fee | <1% | 148 | $3K |
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 officialLOCKLEAR, ASHLEY (CFO)
| Provider | Location | Paid |
|---|---|---|
| A Primary Choice, INC. | Monroe, NC | $70.92M |
| A Primary Choice | Lumberton, NC | $15.53M |
| Primary Health Choice, INC. | Lumberton, NC | $6.14M |
| A Primary Choice, INC. | Laurinburg, NC | $4.48M |
| A Primary Choice, INC. | Sanford, NC | $3.49M |
| A Primary Choice, INC. | Winston Salem, NC | $2.64M |
| A Primary Choice, INC. | Wadesboro, NC | $2.28M |
| A Primary Choice, INC. | Greensboro, NC | $1.81M |
| A Primary Choice, INC. | Asheboro, NC | $1.63M |
| A Primary Choice, INC. | Pembroke, NC | $1.60M |
| A Primary Choice, INC. | Burlington, NC | $815K |
| A Primary Choice, INC. | Monroe, NC | $639K |
| A Primary Choice, INC. | Tarboro, NC | $516K |
| A Primary Choice, INC. | Lenoir, NC | $260K |
| A Primary Choice, INC. | Kinston, NC | $217K |
| A Primary Choice, INC. | Forest City, NC | $184K |
| A Primary Choice, INC. | Red Springs, NC | $144K |
| A Primary Choice, INC. | Greenville, NC | $133K |
| Primary Health Choice, INC. | Lumberton, NC | $132K |
| Primary Health Choice, INC. | Lumberton, NC | $82K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.