Medicaid Provider Spending

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

CAROLINA OUTREACH, LLC

NPI: 1922431089 · KINSTON, NC 28504 · Community/Behavioral Health Agency · NPI assigned 08/13/2013

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

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$5.09M
Total Medicaid Paid
25,045
Total Claims
3,802
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVEDDER, JAMES (CFO)
NPI Enumeration Date08/13/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,569 $618K
2019 3,735 $610K
2020 3,074 $763K
2021 3,301 $766K
2022 2,917 $709K
2023 4,441 $801K
2024 4,008 $828K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 25,045 3,802 $5.09M