Community Action Council
Community Action Council was paid $1.92M by Medicaid between Jun 2019 and Nov 2024, across 3 billing codes. Its largest line is H0043, Supported housing, per diem — 98% of everything it billed.
33Billing provider infoCOMMUNITY ACTION COUNCIL
LACEY, WA 98516
LACEY, WA 98516
33aNPI1437301827assigned 10/16/2008
33bProvider typeCase Manager/Care Coordinator
28Total paid$1.92M
24GClaims17,484
24DCodes billed3
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in Washington
Rank by total paid#6 of 22
Median peer was paid$158K
This provider vs. median12×
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 Concentration98% of spending on code H0043 with only 3 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2019 | 236 | $24K | |
| 2020 | 1,697 | $197K | |
| 2021 | 1,260 | $139K | |
| 2022 | 5,641 | $611K | |
| 2023 | 5,295 | $578K | |
| 2024incomplete | 3,355 | $370K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0043 | Supported housing, per diem | 98% | 16,939 | 5,666 | $1.88M |
| H2023 | Supported employment, per 15 minutes | 1.8% | 499 | 181 | $35K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 46 | 24 | $4K |
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 officialSHUMWAY, SHARRIE (CHIEF ACCOUNTANT)