Medicaid Provider Spending

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

CAROLINA BEHAVIORAL CARE, PA

NPI: 1982642393 · PINEHURST, NC 28374 · Psychiatry Physician · NPI assigned 06/04/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PESCE, ELISABETH controls 14+ related entities in our dataset. Read more

$1.38M
Total Medicaid Paid
26,266
Total Claims
18,058
Beneficiaries
13
Codes Billed
2018-01
First Month
2024-02
Last Month

Provider Details

Authorized OfficialPESCE, ELISABETH (SECRETARY)
NPI Enumeration Date06/04/2006

Related Entities

Other providers sharing the same authorized official: PESCE, ELISABETH

ProviderCityStateTotal Paid
ADVANCED THERAPY ASSOCIATES, LLC OKLAHOMA CITY OK $12.62M
NEW PERSPECTIVES CENTER FOR COUNSELING & THERAPY SALEM OR $11.84M
CAROLINA BEHAVIORAL CARE DURHAM NC $6.22M
CAROLINA BEHAVIORAL CARE, PA HILLSBOROUGH NC $3.52M
LIFESOLUTIONS COUNSELING ASSOCIATES, P.C. CARMEL IN $2.27M
CAROLINA BEHAVIORAL CARE PINEHURST NC $1.44M
CAROLINA BEHAVIORAL CARE DURHAM NC $676K
SUNDANCE BEHAVIORAL RESOURCES, LLC MURRAY UT $467K
FAMILY COUNSELING ASSOCIATES OF SALEM ANDOVER LLC ANDOVER MA $454K
COASTAL COUNSELING CENTER INC CHESAPEAKE VA $443K
REFRESH CANOPY COVE INC. SARASOTA FL $332K
EUGENE THERAPY LLC EUGENE OR $108K
XPLOR COUNSELING, LLC HONOLULU HI $8K
CARROLL COUNSELING CENTER, LLC ELDERSBURG MD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,551 $266K
2019 3,329 $179K
2020 1,749 $58K
2021 3,436 $146K
2022 5,287 $279K
2023 7,145 $405K
2024 769 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,334 14,526 $1.11M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,952 1,572 $98K
90837 Psychotherapy, 53 minutes with patient 1,387 775 $83K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 511 378 $28K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 252 169 $24K
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 76 65 $12K
99205 Prolong outpt/office vis 83 63 $11K
90791 Psychiatric diagnostic evaluation 72 53 $7K
99215 Prolong outpt/office vis 100 79 $7K
Q3014 Telehealth originating site facility fee 308 246 $5K
90785 144 89 $458.21
36415 Collection of venous blood by venipuncture 33 31 $81.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 14 12 $0.00