Is CENTER FOR EMOTIONAL HEALTH flagged for Medicaid fraud?

CENTER FOR EMOTIONAL HEALTH (NPI: 1174922348) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does CENTER FOR EMOTIONAL HEALTH bill Medicaid?

CENTER FOR EMOTIONAL HEALTH received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Psychiatry & Neurology, Addiction Psychiatry provider. Located in GASTONIA, NC.

What is NPI 1174922348?

NPI 1174922348 is the National Provider Identifier for CENTER FOR EMOTIONAL HEALTH. They are a Psychiatry & Neurology, Addiction Psychiatry provider based in GASTONIA, NC. This NPI is registered with the CMS NPI Registry.

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CENTER FOR EMOTIONAL HEALTH

Psychiatry & Neurology, Addiction Psychiatry·GASTONIA, NC·NPI: 1174922348Share

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$40.2M

$40,238,610

Total Claims

523K

Beneficiaries

334K

1.6 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018

$1.9M

+34%

2019

$2.5M

+18%

2020

$2.9M

+52%

2021

$4.4M

+61%

2022

$7.1M

+38%

2023

$9.9M

+17%

2024

$11.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (90837 (Psychotherapy, 60 minutes)) accounts for 47% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

90837Psychotherapy, 60 minutesSee all providers →

$19.0M

223K claims

$85.40

$85.66

1.0×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$19.0M

223K claims · 47.3%

Your Cost: $85.40/claim|Median: $85.66

1.0× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$9.7M

162K claims

$59.96

$37.81

1.6×

Top 25%

99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$9.7M

162K claims · 24.2%

Your Cost: $59.96/claim|Median: $37.81

1.6× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$8.0M

92K claims

$87.33

$53.41

1.6×

Top 25%

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$8.0M

92K claims · 19.9%

Your Cost: $87.33/claim|Median: $53.41

1.6× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$2.3M

19K claims

$124.33

$84.03

1.5×

Top 25%

99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$2.3M

19K claims · 5.8%

Your Cost: $124.33/claim|Median: $84.03

1.5× median

90832Psychotherapy, 30 minutesSee all providers →

$544K

13K claims

$41.73

$41.28

1.0×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$544K

13K claims · 1.4%

Your Cost: $41.73/claim|Median: $41.28

1.0× median

90853Group psychotherapySee all providers →

$352K

12K claims

$30.41

$25.02

1.2×

Normal range

90853Normal range

Group psychotherapy

$352K

12K claims · 0.9%

Your Cost: $30.41/claim|Median: $25.02

1.2× median

90791Psychiatric diagnostic evaluationSee all providers →

$169K

1,798 claims

$94.01

$99.21

0.9×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$169K

1,798 claims · 0.4%

Your Cost: $94.01/claim|Median: $99.21

0.9× median

99215Office/outpatient visit, high complexitySee all providers →

$27K

215 claims

$124.46

$74.09

1.7×

Top 25%

99215Top 25%

Office/outpatient visit, high complexity

$27K

215 claims · 0.1%

Your Cost: $124.46/claim|Median: $74.09

1.7× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$14K

95 claims

$150.10

$108.91

1.4×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$14K

95 claims · 0.0%

Your Cost: $150.10/claim|Median: $108.91

1.4× median

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