Physician
Carolina Behavioral Care, PA
Carolina Behavioral Care, PA was paid $1.38M by Medicaid between Jan 2018 and Feb 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoCAROLINA BEHAVIORAL CARE, PA
PINEHURST, NC 28374
PINEHURST, NC 28374
33aNPI1982642393assigned 06/04/2006
33bProvider typePsychiatry Physician
28Total paid$1.38M
24GClaims26,266
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Psychiatry Physician providers in North Carolina
Rank by total paid#25 of 165
Median peer was paid$187K
This provider vs. median7.4×
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.
Entity ProliferationAuthorized official PESCE, ELISABETH controls 14+ related entities in our dataset. Read more
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 | 4,551 | $266K | |
| 2019 | 3,329 | $179K | |
| 2020 | 1,749 | $58K | |
| 2021 | 3,436 | $146K | |
| 2022 | 5,287 | $279K | |
| 2023 | 7,145 | $405K | |
| 2024incomplete | 769 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 80% | 21,334 | 14,526 | $1.11M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 1,952 | 1,572 | $98K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 6.0% | 1,387 | 775 | $83K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 2.0% | 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 | 1.7% | 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 | <1% | 76 | 65 | $12K |
| 99205 | Prolong outpt/office vis | <1% | 83 | 63 | $11K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 72 | 53 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 100 | 79 | $7K |
| Q3014 | Telehealth originating site facility fee | <1% | 308 | 246 | $5K |
| 90785 | <1% | 144 | 89 | $458.21 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 33 | 31 | $81.00 |
1 more codes
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 14 | $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.
From NPPES
Who's on the registration
Authorized officialPESCE, ELISABETH (SECRETARY)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.