Providers

CHARLES GRAHAM

NPI 1750420618, individual, Lumberton, NC, Technician, Personal Care Attendant

5
Evidence tier
informational
  • 81% of Medicaid dollars are on codes with a history of abuse.
score 34 of 100, rank 10416, $15.6M at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameCHARLES GRAHAM
TypeIndividual
StatusActive
NPI issuedFebruary 6, 2007, last updated October 30, 2012
Practice location4820 FAYETTEVILLE RD, Lumberton, NC 28358-2112, 910-608-0430
Specialties
Technician, Personal Care Attendant (3747P1801X, primary, license HC1604 NC)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
S5125Attendant care services per 15 minhistory of abuse$19.3M81%$3K$2K (top 5% from $5K)73rd percentile
T2013Habilitation educational waiver per hour$3.1M13%$4K$3K (top 5% from $6K)54th percentile
S5150Unskilled respite care per 15 min$645K3%$541$709 (top 5% from $2K)35th percentile
B4150Medicaid service code$233K1%$92$109 (top 5% from $212)35th percentile
99509Medicaid service code$170K1%$1K$1K (top 5% from $2K)51st percentile
A4554Medicaid service code$137K1%$46$40 (top 5% from $79)61st percentile
B4154Medicaid service code$92K0%$102$154 (top 5% from $416)28th percentile
S5161Medicaid service code$44K0%$25$32 (top 5% from $57)17th percentile

In this area

5 providers in Robeson County, NC carry an indicator in the public record, with $1.3M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1CAROLINA FAMILY AND URGENT CARE
Lumberton, NC, ranked 30
$6K
  • Listed on the Medicare revocation list since September 8, 2023.
  • Medicaid still paid claims in 7 later months, $5,787 in total.
  • and 1 more
4JANA-RAE LOCKLEAR
Pembroke, NC, ranked 7363
$123K
  • Hours beyond a day in 1 month under one organization, which can be supervisory billing.
  • Records needed.
  • and 2 more
4CHRISTINA JONES
Lumberton, NC, ranked 9647
$46K
  • Hours beyond a day in 2 months, but with up to 399 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.
5RICARDO POJOL
Lumberton, NC, ranked 10998
$1.1M
5FELICIA BRITT
Shannon, NC, ranked 11841
$27K

Recent enforcement in NC

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJSentencedAug 27, 2026
Charlotte Woman Sentenced for Defrauding the North Carolina Medicaid Program
Jackson and her company submitted over $1.9 million in claims to NC Medicaid for urine drug testing and psychotherapy services that were never performed or already paid, using Medicaid recipients' personal information, and she spent the proceeds.
DOJPleaded guiltyJul 9, 2026
Guilford County Woman Pleads Guilty to Health Care Fraud in Connection with Million Dollar Urine Drug Testing Scheme
Singleton owned and operated Joelle's Center of Hope, which submitted approximately $1,735,865 in claims to North Carolina Medicaid for urine drug tests that were not performed, listing a nurse practitioner and a doctor as ordering providers who never ordered the tests.
DOJPleaded guiltyJun 24, 2026
Raleigh Man Pleads Guilty to Receiving More than $60 Million in Fraudulent Claims from Paying Kickbacks for Patient Referrals
Price owned and operated Golden Star Labs, which paid collectors on a per-specimen basis to supply bogus respiratory test samples obtained through identity theft, and billed Medi-Cal and Medicare more than $96 million in false claims, receiving more than $60 million, and he also filed a false federal income tax return.
DOJChargedJun 24, 2026
McLeansville Woman Charged With Health Care Fraud, Part of National Health Care Fraud Takedown
White, the owner of Reginald Center of Turn Around, billed North Carolina Medicaid for thousands of fictitious drug tests resulting in a loss of $2.8 million.
DOJIndictedJun 24, 2026
Felon Indicted in Multimillion Dollar Healthcare Kickback and False Documents Conspiracy
Ayyad is alleged to have solicited and received kickbacks from clinical laboratories in exchange for generating referrals, paid kickbacks to independent contractor sales reps, created dozens of sham invoices and contracts to conceal the payments, and caused the submission of fraudulent claims for laboratory testing to Medicare, HRSA, TRICARE, and other payers through labs and entities he owned and controlled.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

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