Behavioral
Sigma Health Services LLC
Sigma Health Services LLC was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 44% of everything it billed.
33Billing provider infoSIGMA HEALTH SERVICES LLC
RALEIGH, NC 27609
RALEIGH, NC 27609
33aNPI1962643270assigned 03/16/2009
33bProvider typeProfessional Counselor
28Total paid$1.20M
24GClaims8,945
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in North Carolina
Rank by total paid#31 of 214
Median peer was paid$108K
This provider vs. median11×
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
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 | 1,830 | $187K | |
| 2019 | 1,716 | $149K | |
| 2020 | 795 | $93K | |
| 2021 | 612 | $60K | |
| 2022 | 696 | $51K | |
| 2023 | 1,628 | $272K | |
| 2024incomplete | 1,668 | $384K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 44% | 1,812 | 1,261 | $525K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 28% | 4,166 | 1,486 | $330K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 27% | 2,590 | 407 | $328K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 40 | 39 | $5K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 17 | 17 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 42 | 38 | $3K |
| 80305 | <1% | 278 | 125 | $2K |
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 officialWARD, JAMES (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Bridges to Hope LLC | New Orleans, LA | $1.97M |
| Hillcrest Washington Youth Home, INC | Evansville, IN | $365K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.