Carter Clinic PA
Carter Clinic PA was paid $3.16M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 67% of everything it billed.
WILMINGTON, NC 28403
Next to other Community/Behavioral Health Agency providers in North Carolina
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,882 | $197K | |
| 2019 | 4,314 | $247K | |
| 2020 | 8,422 | $587K | |
| 2021 | 8,205 | $578K | |
| 2022 | 5,951 | $494K | |
| 2023 | 5,693 | $466K | |
| 2024incomplete | 5,138 | $586K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 67% | 20,696 | 2,740 | $2.12M |
| 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 | 16% | 6,085 | 4,411 | $507K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 5,188 | 3,318 | $220K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.1% | 4,061 | 2,748 | $161K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.0% | 851 | 643 | $63K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 1.2% | 2,093 | 1,356 | $38K |
| Q3014 | Telehealth originating site facility fee | 1.0% | 2,080 | 1,417 | $32K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 261 | 226 | $14K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 46 | 46 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 91 | 80 | $562.11 |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 0% | 153 | 153 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Carter Clinic, P a | Raleigh, NC | $19.47M |
| Carter Clinic, P a | Lumberton, NC | $3.12M |
| Carter Clinic, PA | Fayetteville, NC | $2.57M |
| Carter Clinic, PA | Red Springs, NC | $1.78M |
| Carter Clinic PA | Smithfield, NC | $1.51M |
| Carter Clinic, P.A. | Wilson, NC | $1.20M |
| Carter Clinic, P a | Elizabethtown, NC | $639K |
| Carter Clinic, P.A. | Shelby, NC | $149K |
| Carter Clinic PA | Laurinburg, NC | $111K |
| Carter Clinic, PA | Whiteville, NC | $63K |
| Carter Clinic, PA | Dunn, NC | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.