Medicaid Provider Spending

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

WESTERN CAROLINA TREATMENT CENTER, INC

NPI: 1962726380 · ASHEVILLE, NC 28801 · Pharmacotherapy Pharmacist · NPI assigned 03/15/2010

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code H0020 with only 3 total codes billed. Highly concentrated billing profile.

$1.41M
Total Medicaid Paid
44,050
Total Claims
2,294
Beneficiaries
3
Codes Billed
2020-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBAILLEY, JOY (CHIEF OPERATING OFFICER)
NPI Enumeration Date03/15/2010

Related Entities

Other providers sharing the same authorized official: BAILLEY, JOY

ProviderCityStateTotal Paid
SOUTHWEST CAROLINA TREATMENT CENTER, LLC ANDERSON SC $3.14M
NEW HOPE TREATMENT CENTER OF TENNESSEE LLC NEWPORT TN $2.36M
PALMETTO CAROLINA TREATMENT CENTER, LLC DUNCAN SC $2.25M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 540 $9K
2021 10,507 $172K
2022 14,217 $146K
2023 16,276 $457K
2024 2,510 $625K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 43,028 1,933 $1.39M
90832 Psychotherapy, 30 minutes with patient 611 322 $11K
H0020CR 411 39 $7K