Agency
Care Advantage, INC.
Care Advantage, INC. was paid $8.47M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 88% of everything it billed.
33Billing provider infoCARE ADVANTAGE, INC.
ROANOKE, VA 24018
ROANOKE, VA 24018
33aNPI1063748739assigned 10/30/2009
33bProvider typeNursing Care Agency
28Total paid$8.47M
24GClaims96,631
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nursing Care Agency providers in Virginia
Rank by total paid#3 of 21
Median peer was paid$2.44M
This provider vs. median3.5×
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.
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 | 3,018 | $665K | |
| 2019 | 7,118 | $646K | |
| 2020 | 20,652 | $1.35M | |
| 2021 | 16,485 | $1.43M | |
| 2022 | 14,379 | $1.28M | |
| 2023 | 15,910 | $1.39M | |
| 2024incomplete | 19,069 | $1.71M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 88% | 80,146 | 5,090 | $7.49M |
| T1005 | Respite care services, up to 15 minutes | 9.7% | 16,338 | 2,087 | $821K |
| G2021 | Health care practitioners rendering treatment in place (tip) | 1.8% | 147 | 85 | $156K |
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 officialJOHNSTON, DEBORAH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Care Advantage, INC | North Chesterfield, VA | $56.95M |
| Care Advantage, INC | Newport News, VA | $17.43M |
| Care Advantage, INC. | Staunton, VA | $11.27M |
| Care Advantage, INC | Richmond, VA | $10.70M |
| Care Advantage, INC | Colonial Heights, VA | $10.38M |
| Care Advantage, INC | Richmond, VA | $10.01M |
| Care Advantage, INC | Virginia Beach, VA | $8.30M |
| Care Advantage, INC. | Emporia, VA | $7.33M |
| Care Advantage, INC. | Franklin, VA | $6.09M |
| Care Advantage, INC. | Richmond, VA | $5.65M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.