Agency
Carolina Outreach, LLC
Carolina Outreach, LLC was paid $5.09M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is H0040, Assertive community treatment program, per diem — 100% of everything it billed.
33Billing provider infoCAROLINA OUTREACH, LLC
KINSTON, NC 28504
KINSTON, NC 28504
33aNPI1922431089assigned 08/13/2013
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$5.09M
24GClaims25,045
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#175 of 856
Median peer was paid$908K
This provider vs. median5.6×
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.
Single-Code Concentration100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.
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 | 3,569 | $618K | |
| 2019 | 3,735 | $610K | |
| 2020 | 3,074 | $763K | |
| 2021 | 3,301 | $766K | |
| 2022 | 2,917 | $709K | |
| 2023 | 4,441 | $801K | |
| 2024incomplete | 4,008 | $828K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0040 | Assertive community treatment program, per diem | 100% | 25,045 | 3,802 | $5.09M |
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 officialVEDDER, JAMES (CFO)