Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

CAROLINA THERAPEUTIC SERVICES, INC

Community/Behavioral Health·GASTONIA, NC·NPI: 1720247570Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$46.6M

$46,592,306

Total Claims

312K

Beneficiaries

42K

7.4 claims/patient

Avg Cost/Claim

$149

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+48%
2019
$3.6M
+38%
2020
$5.0M
+17%
2021
$5.8M
+21%
2022
$7.0M
+59%
2023
$11.2M
+3%
2024
$11.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (S5145 (Foster care, therapeutic, child, per diem)) accounts for 71% of total spending.

S5145Normal range

Foster care, therapeutic, child, per diem

$33.3M

205K claims · 71.4%

Your Cost: $162.60/claim|Median: $216.31
0.8× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$5.3M

35K claims · 11.3%

Your Cost: $150.59/claim|Median: $91.63
1.6× median
H0032Top 1%

Mental health service plan development

$2.0M

2,854 claims · 4.3%

Your Cost: $706.54/claim|Median: $80.64
8.8× median
90837Normal range

Psychotherapy, 60 minutes

$1.7M

17K claims · 3.7%

Your Cost: $102.07/claim|Median: $85.66
1.2× median
H2014Normal range

Skills training & development, per 15 min

$1.0M

8,604 claims · 2.2%

Your Cost: $118.98/claim|Median: $83.88
1.4× median
S9482Normal range

Family stabilization services, per 15 minutes

$686K

11K claims · 1.5%

Your Cost: $62.48/claim|Median: $625.59
0.1× median
90847Top 25%

Family psychotherapy with patient, 50 min

$501K

4,690 claims · 1.1%

Your Cost: $106.83/claim|Median: $77.33
1.4× median
90846Top 25%

Family psychotherapy without patient, 50 min

$459K

4,292 claims · 1.0%

Your Cost: $106.97/claim|Median: $76.61
1.4× median
99214Normal range

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

$437K

6,442 claims · 0.9%

Your Cost: $67.88/claim|Median: $53.41
1.3× median
90834Normal range

Psychotherapy, 45 minutes

$290K

4,578 claims · 0.6%

Your Cost: $63.24/claim|Median: $63.65
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$190K

1,577 claims · 0.4%

Your Cost: $120.68/claim|Median: $99.21
1.2× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$177K

1,720 claims · 0.4%

Your Cost: $102.94/claim|Median: $76.05
1.4× median
0183Top 1%

$97K

1,116 claims · 0.2%

Your Cost: $86.76/claim|Median: $86.76
1.0× median
90832Normal range

Psychotherapy, 30 minutes

$77K

1,670 claims · 0.2%

Your Cost: $46.33/claim|Median: $41.28
1.1× median
99213Normal range

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

$68K

1,523 claims · 0.1%

Your Cost: $44.51/claim|Median: $37.81
1.2× median
H2000Normal range

Comprehensive multidisciplinary evaluation

$66K

451 claims · 0.1%

Your Cost: $146.47/claim|Median: $114.71
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$55K

574 claims · 0.1%

Your Cost: $94.98/claim|Median: $74.09
1.3× median
S5145HANormal range

$30K

115 claims · 0.1%

Your Cost: $256.79/claim|Median: $260.00
1.0× median
H0045Normal range

Respite care services, not in the home, per diem

$29K

449 claims · 0.1%

Your Cost: $65.66/claim|Median: $119.19
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$29K

258 claims · 0.1%

Your Cost: $111.39/claim|Median: $111.09
1.0× median
99204Normal range

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

$21K

206 claims · 0.0%

Your Cost: $101.32/claim|Median: $84.03
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$20K

149 claims · 0.0%

Your Cost: $134.04/claim|Median: $108.91
1.2× median
H0002Normal range

Behavioral health screening

$14K

584 claims · 0.0%

Your Cost: $24.05/claim|Median: $38.77
0.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$7K

2,041 claims · 0.0%

Your Cost: $3.24/claim|Median: $3.67
0.9× median
99203Normal range

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

$5K

88 claims · 0.0%

Your Cost: $53.10/claim|Median: $57.85
0.9× median
H0031Normal range

Mental health assessment by non-physician

$3K

43 claims · 0.0%

Your Cost: $77.14/claim|Median: $96.18
0.8× median
99441Normal range

Telephone E/M by physician, 5-10 min

$242

80 claims · 0.0%

Your Cost: $3.02/claim|Median: $13.30
0.2× median
90785Normal range

$116

13 claims · 0.0%

Your Cost: $8.96/claim|Median: $6.43
1.4× median

Other Top Providers in North Carolina

View all →

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$1.44B

Aeroflow INC

Durable Medical Equipment & Medical Supplies

$571.7M

Abound Health, LLC

In Home Supportive Care

$324.3M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$281.4M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providersAll providers in North Carolina →How we detect fraud →