Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

A Caring Alternative, LLC

A Caring Alternative, LLC was paid $4.61M by Medicaid between Feb 2020 and Dec 2024, across 2 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 100% of everything it billed.

33Billing provider infoA CARING ALTERNATIVE, LLC
HICKORY, NC 28602
33aNPI1427505684assigned 09/06/2016
28Total paid$4.61M
24GClaims20,431
24DCodes billed2
24AFirst – last monthFeb 2020 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in North Carolina

Rank by total paid#188 of 856
Median peer was paid$908K
This provider vs. median5.1×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H0040 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
YearClaimsPaid
20201,741$415K
20213,267$742K
20224,187$969K
20235,137$1.12M
2024incomplete6,099$1.37M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0040 Assertive community treatment program, per diem 100% 20,401 3,117 $4.61M
H0040CR <1% 30 22 $653.21

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 officialRHONEY, MELAINA (OWNER/PRESIDENT)
Same official

Other billing entities under RHONEY, MELAINA

Full network →
ProviderLocationPaid
A Caring Alternative, LLCMorganton, NC$19.67M
A Caring Alternative, LLCMorganton, NC$7.93M
A Caring Alternative, LLCMorganton, NC$2.07M
All 4 U Home Medical, LLCMorganton, NC$1.38M
A Caring Alternative, LLCMarion, NC$146K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.