Medicaid Provider Spending

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

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

NPI: 1891007191 · MORGANTON, NC 28655 · Community/Behavioral Health Agency · NPI assigned 07/02/2010

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0040 with only 3 total codes billed. Highly concentrated billing profile.

$9.07M
Total Medicaid Paid
43,482
Total Claims
5,637
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialEDWARDS, RICHARD (CONTRACT ADMINISTRATOR)
NPI Enumeration Date07/02/2010

Related Entities

Other providers sharing the same authorized official: EDWARDS, RICHARD

ProviderCityStateTotal Paid
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. DURHAM NC $8.29M
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. LILLINGTON NC $8.07M
EDWARDS FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION JENNINGS LA $1.96M
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. CHARLOTTE NC $778K
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. GREENVILLE NC $221K
EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. RALEIGH NC $112K
LIFE SUPPORT SYSTEMS INC CLEARWATER FL $32K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,237 $865K
2019 5,090 $919K
2020 6,470 $1.13M
2021 7,463 $1.43M
2022 6,219 $1.41M
2023 6,726 $1.84M
2024 6,277 $1.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 43,363 5,570 $9.06M
H0040CR 33 28 $10K
H004022 86 39 $0.86