Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

1ST Choice Healthcare Services, LLC

1ST Choice Healthcare Services, LLC was paid $2.60M by Medicaid between Jun 2018 and Mar 2023, across 6 billing codes. Its largest line is G0483, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed — 67% of everything it billed.

33Billing provider info1ST CHOICE HEALTHCARE SERVICES, LLC
HOOKERTON, NC 28538
33aNPI1952859092assigned 09/19/2016
28Total paid$2.60M
24GClaims20,855
24DCodes billed6
24AFirst – last monthJun 2018 – Mar 2023
Compared with peers

Next to other Community/Behavioral Health Agency providers in North Carolina

Rank by total paid#270 of 856
Median peer was paid$908K
This provider vs. median2.9×

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.

Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201864$3K
20191,313$87K
20204,920$561K
20217,972$1.09M
20225,562$720K
20231,024$135K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 67% 8,911 3,643 $1.75M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 30% 10,741 3,989 $770K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 2.7% 1,014 218 $71K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 51 45 $3K
H0032 Mental health service plan development by non-physician <1% 52 46 $3K
80305 <1% 86 53 $348.25

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 officialSIMS, KIMBERLY (OWNER)
Same official

Other billing entities under SIMS, KIMBERLY

Full network →
ProviderLocationPaid
Lower Florence County HospitalLake City, SC$418K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.