Clinic
Advance Community Health, INC
Advance Community Health, INC was paid $665K by Medicaid between Jan 2018 and Jun 2023, across 41 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 19% of everything it billed.
33Billing provider infoADVANCE COMMUNITY HEALTH, INC
RALEIGH, NC 27610
RALEIGH, NC 27610
33aNPI1255572475assigned 03/18/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$665K
24GClaims70,340
24DCodes billed41
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#108 of 324
Median peer was paid$279K
This provider vs. median2.4×
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 | 19,628 | $218K | |
| 2019 | 20,806 | $220K | |
| 2020 | 11,938 | $148K | |
| 2021 | 7,766 | $47K | |
| 2022 | 8,030 | $25K | |
| 2023 | 2,172 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 19% | 2,008 | 1,672 | $127K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 16% | 1,862 | 1,415 | $108K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,422 | 1,225 | $95K |
| 99199 | Unlisted special service, procedure or report | 11% | 17,448 | 16,289 | $71K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 11% | 4,495 | 3,264 | $70K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.9% | 6,873 | 5,040 | $59K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 888 | 623 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 3,302 | 2,578 | $22K |
| 87430 | 2.8% | 1,450 | 1,364 | $19K | |
| D0145 | Oral evaluation for a patient under three years of age | 1.4% | 329 | 302 | $9K |
| 99383 | <1% | 107 | 83 | $6K | |
| 92551 | <1% | 6,503 | 5,130 | $5K |
29 more codes
| D1206 | Topical application of fluoride varnish | <1% | 266 | $4K |
| 90651 | <1% | 1,166 | $4K | |
| 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% | 163 | $3K |
| 90620 | <1% | 196 | $2K | |
| 99384 | <1% | 33 | $2K | |
| 85018 | <1% | 2,168 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 146 | $2K |
| 96127 | <1% | 5,257 | $2K | |
| 81002 | <1% | 406 | $776.75 | |
| 90474 | <1% | 66 | $734.91 | |
| 99173 | <1% | 6,597 | $345.00 | |
| 98967 | <1% | 19 | $337.48 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $115.39 |
| 81025 | <1% | 25 | $96.48 | |
| 90633 | <1% | 627 | $71.60 | |
| 90686 | <1% | 1,611 | $16.28 | |
| 36416 | 0% | 1,249 | $0.00 | |
| 90680 | 0% | 47 | $0.00 | |
| 90647 | 0% | 598 | $0.00 | |
| 90723 | 0% | 558 | $0.00 | |
| 90696 | 0% | 73 | $0.00 | |
| 90716 | 0% | 15 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 14 | $0.00 |
| 90685 | 0% | 68 | $0.00 | |
| 90734 | 0% | 722 | $0.00 | |
| 90670 | 0% | 1,133 | $0.00 | |
| 90715 | 0% | 331 | $0.00 | |
| 90681 | 0% | 13 | $0.00 | |
| 90710 | 0% | 74 | $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 officialWASHINGTON, PENELLA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Wake Health Services INC. | Raleigh, NC | $20K |
| Advance Community Health, INC | Apex, NC | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.