Medicaid Provider Spending

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

CT18 GROUP LLC

NPI: 1962168815 · GASTONIA, NC 28052 · Community/Behavioral Health Agency · NPI assigned 11/15/2021

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

100% of spending on code H0038 with only 2 total codes billed. Highly concentrated billing profile.

$1.76M

Total Medicaid Paid

12,341

Total Claims

1,302

Beneficiaries

Codes Billed

2023-01

First Month

2024-12

Last Month

Authorized Official	TERRY, CHRISTOPHER (CEO)
NPI Enumeration Date	11/15/2021

Year	Claims	Total Paid
2023	5,455	$837K
2024	6,886	$927K

Code	Description	Claims	Beneficiaries	Total Paid
H0038	Self-help/peer services, per 15 minutes	12,263	1,233	$1.76M
90791	Psychiatric diagnostic evaluation	78	69	$7K