Medicaid Provider Spending

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

PRIMARY HEALTH CHOICE, INC.

NPI: 1851539126 · LUMBERTON, NC 28358 · Community/Behavioral Health Agency · NPI assigned 01/26/2009

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

Authorized official LOCKLEAR, ASHLEY controls 20+ related entities in our dataset. Read more

$93.14M
Total Medicaid Paid
574,886
Total Claims
28,910
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOCKLEAR, ASHLEY (CFO)
NPI Enumeration Date01/26/2009

Related Entities

Other providers sharing the same authorized official: LOCKLEAR, ASHLEY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 87,703 $18.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2013 Habilitation, educational, waiver; per hour 379,493 14,249 $65.48M
T2012 Habilitation, educational; waiver, per diem 119,993 4,444 $21.02M
S5150 Unskilled respite care, not hospice; per 15 minutes 65,674 8,471 $4.88M
S5125 Attendant care services; per 15 minutes 3,700 534 $638K
99509 Home visit for assistance with activities of daily living and personal care 3,031 549 $514K
H2022 Community-based wrap-around services, per diem 1,297 148 $365K
H2015 Comprehensive community support services, per 15 minutes 922 70 $142K
T1019 Personal 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) 280 139 $48K
T1017 Targeted case management, each 15 minutes 109 109 $37K
90837 Psychotherapy, 53 minutes with patient 154 79 $10K
H0045 Respite care services, not in the home, per diem 69 12 $7K
T1004 Services of a qualified nursing aide, up to 15 minutes 16 13 $4K
Q3014 Telehealth originating site facility fee 148 93 $3K