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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSoutheastern Behavioral Healthcare Services
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    Southeastern Behavioral Healthcare Services — Billing Profile & Reimbursement Data

    NPI 1932304714 · Lumberton, NC · Community/Behavioral Health Agency

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    Southeastern Behavioral Healthcare Services is a community/behavioral health agency provider located in Lumberton, North Carolina. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationSoutheastern Behavioral Healthcare Services
    Address3581 Lackey St
    CityLumberton
    StateNC
    ZIP28360
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJune 20, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$24.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2035Alcohol and/or other drug treatment program, per hour76,390$190$14.7M
    H2015Comprehensive community support services, per 15 minutes21,470$270$5.9M
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…13,900$130$1.9M
    T1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter2,800$230$655.4K
    H2022Community-based wrap-around services, per diem2,340$280$653.4K
    H2017Psychosocial rehabilitation services, per 15 minutes8,250$60$528.1K
    H0038Self‑help/peer services, per 15 minutes1,220$160$193.3K
    98968A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…3,600$40$158.4K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…1,190$80$89K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1,460$60$83.2K

    Showing 1–10 of 15

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Carolina median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2035Alcohol and/or other drug treatment program, per hour7704,970$190$3.7M
    H2022Community-based wrap-around services, per diem1242203,330$290$3.3M
    H2015Comprehensive community support services, per 15 minutes7125010,060$130$2.4M
    H2017Psychosocial rehabilitation services, per 15 minutes9014017,630$80$1.8M
    H0038Self‑help/peer services, per 15 minutes2093102,820$120$1.3M
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1983601,830$40$819.8K
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…91101,070$130$628.2K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…7061,710810$80$274.5K
    T1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter390220$220$121K
    90847A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…273380250$80$66.4K

    Showing 1–10 of 15

    Nearby Providers

    Other providers in the same ZIP code as Southeastern Behavioral Healthcare Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    We Care For You Home Care CorporationNCCommunity/Behavioral Health Agency$0$16.3M
    New Harmony Home Care LLCNCIn Home Supportive Care Agency$0$14.8M
    Lumberton Treatment Center LLCNCCommunity/Behavioral Health Agency$0$7.7M
    Saksith SmithasonNCNeurological Surgery Physician$33.3K$0
    Tawanda WilliamsNCObstetrics & Gynecology Physician$12.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Southeastern Behavioral Healthcare Services — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina