Physician
Advance Community Health, INC
Advance Community Health, INC was paid $10.66M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoADVANCE COMMUNITY HEALTH, INC
RALEIGH, NC 27610
RALEIGH, NC 27610
33aNPI1245223783assigned 08/30/2005
33bProvider typeObstetrics & Gynecology Physician
28Total paid$10.66M
24GClaims370,134
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in North Carolina
Rank by total paid#3 of 189
Median peer was paid$47K
This provider vs. median229×
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 | 7,813 | $500K | |
| 2019 | 7,738 | $476K | |
| 2020 | 7,214 | $526K | |
| 2021 | 33,215 | $989K | |
| 2022 | 54,364 | $1.26M | |
| 2023 | 107,231 | $2.83M | |
| 2024incomplete | 152,559 | $4.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 82% | 52,947 | 42,114 | $8.72M |
| 99199 | Unlisted special service, procedure or report | 16% | 296,666 | 156,291 | $1.72M |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,988 | 1,487 | $44K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,545 | 1,881 | $42K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,201 | 1,924 | $20K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 2,465 | 1,971 | $19K |
| 97802 | <1% | 783 | 630 | $13K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 799 | 657 | $11K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 177 | 144 | $11K |
| 82962 | <1% | 3,793 | 3,243 | $10K | |
| 0012A | <1% | 183 | 170 | $8K | |
| 0011A | <1% | 188 | 170 | $6K |
37 more codes
| 81025 | <1% | 839 | $5K | |
| 99401 | <1% | 355 | $4K | |
| 0071A | <1% | 73 | $3K | |
| 0064A | <1% | 64 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | $2K |
| 0072A | <1% | 42 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 62 | $2K |
| 81002 | <1% | 819 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 579 | $2K |
| 90677 | <1% | 17 | $1K | |
| 90686 | <1% | 142 | $735.83 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 44 | $552.34 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 134 | $448.16 |
| 90656 | <1% | 101 | $442.51 | |
| 90480 | <1% | 34 | $325.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $275.55 |
| 97803 | <1% | 19 | $250.66 | |
| 99385 | <1% | 28 | $193.66 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $174.84 |
| 3078F | 0% | 152 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 16 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 16 | $0.00 |
| 3077F | 0% | 16 | $0.00 | |
| 3008F | 0% | 615 | $0.00 | |
| 3074F | 0% | 298 | $0.00 | |
| 3044F | 0% | 87 | $0.00 | |
| 99422 | 0% | 29 | $0.00 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 0% | 24 | $0.00 |
| 91301 | 0% | 327 | $0.00 | |
| 91307 | 0% | 107 | $0.00 | |
| 36416 | 0% | 18 | $0.00 | |
| 91306 | 0% | 62 | $0.00 | |
| 99000 | 0% | 18 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 33 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 84 | $0.00 |
| 3079F | 0% | 40 | $0.00 | |
| 3080F | 0% | 14 | $0.00 |
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 officialMCCRAY, SCOT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Advance Community Health, INC | Raleigh, NC | $10.81M |
| Advance Community Health, INC | Apex, NC | $2.65M |
| Advance Community Health, INC | Louisburg, NC | $1.73M |
| Advance Community Health, INC | Raleigh, NC | $1.60M |
| Advance Community Health, INC | Fuquay Varina, NC | $670K |
| Advance Community Health, INC | Raleigh, NC | $479K |
| Advance Community Health, INC | Cary, NC | $359K |
| Advance Community Health, INC | Cary, NC | $44K |
| Advance Community Health, INC | Raleigh, NC | $42K |
| Advance Community Health, INC | Louisburg, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.