Behavioral
Professional Healthcare Solutions, INC
Professional Healthcare Solutions, INC was paid $1.82M by Medicaid between Jan 2023 and Dec 2024, across 1 billing code. Its largest line is H0038, Self-help/peer services, per 15 minutes — 100% of everything it billed.
33Billing provider infoPROFESSIONAL HEALTHCARE SOLUTIONS, INC
ALBEMARLE, NC 28001
ALBEMARLE, NC 28001
33aNPI1962151803assigned 03/19/2022
33bProvider typeMental Health Counselor
28Total paid$1.82M
24GClaims11,910
24DCodes billed1
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in North Carolina
Rank by total paid#56 of 321
Median peer was paid$192K
This provider vs. median9.5×
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 H0038 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 | |
|---|---|---|---|
| 2023 | 5,161 | $843K | |
| 2024incomplete | 6,749 | $973K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 100% | 11,910 | 1,035 | $1.82M |
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 officialPARKER, LILLY (CEO/OWNER)