Community Care Health Plan, INC

Community Care Health Plan, INC was paid $63.06M by Medicaid between Jan 2024 and Dec 2024, across 31 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 90% of everything it billed.

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
2024incomplete	901,626	$63.06M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	90%	837,961	165,221	$56.91M
T1016	Case management, each 15 minutes	2.3%	9,893	5,312	$1.47M
T2004	Non-emergency transport; commercial carrier, multi-pass	1.4%	2,556	1,440	$872K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	1.4%	8,198	7,586	$858K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	<1%	7,739	7,281	$572K
A0110	Non-emergency transportation and bus, intra or inter state carrier	<1%	4,762	2,896	$447K
T4541	Incontinence product, disposable underpad, large, each	<1%	7,222	6,738	$428K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	<1%	5,683	5,358	$374K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	<1%	6,102	5,648	$356K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	<1%	2,347	2,204	$174K
A4335	Incontinence supply; miscellaneous	<1%	3,251	3,058	$160K
T2003	Non-emergency transportation, per tripNon-emergency transportation; encounter/trip	<1%	760	382	$118K

19 more codes

T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	<1%	711	$56K
T4525	Adult sized disposable incontinence product, protective underwear/pull-on, small size, each	<1%	710	$48K
E1399	Durable medical equipment, miscellaneous	<1%	627	$37K
T1001	Nursing assessment / evaluation	<1%	416	$33K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	<1%	180	$33K
A0100	Non-emergency taxi ride to a medical appointment	<1%	672	$25K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	573	$24K
A4927	Gloves, non-sterile, per 100	<1%	448	$22K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	<1%	78	$11K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	<1%	41	$7K
B9998	Noc for enteral supplies	<1%	82	$7K
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	<1%	181	$3K
A6260	Wound cleansers, any type, any size	<1%	71	$3K
99600	Unlisted home visit service or procedure	<1%	62	$3K
A4213	Syringe, sterile, 20 cc or greater, each	<1%	105	$3K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	<1%	33	$2K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	<1%	13	$2K
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	<1%	81	$2K
A4245	Alcohol wipes, per box	<1%	68	$392.74

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 officialMELNICK, NANCY (REGULATORY AFFAIRS SPECIALIST)

Parent organizationCOMMUNITY CARE INC