Agency
A Caring Heart Case Management, INC.
A Caring Heart Case Management, INC. was paid $127.56M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is T2013, Habilitation, educational, waiver; per hour — 29% of everything it billed.
33Billing provider infoA CARING HEART CASE MANAGEMENT, INC.
WILSON, NC 27893
WILSON, NC 27893
33aNPI1447300058assigned 01/12/2007
33bProvider typeCase Management Agency
28Total paid$127.56M
24GClaims833,592
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in North Carolina
Rank by total paid#3 of 195
Median peer was paid$2.05M
This provider vs. median62×
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 | 72,887 | $9.77M | |
| 2019 | 93,863 | $12.71M | |
| 2020 | 112,546 | $16.79M | |
| 2021 | 112,668 | $17.48M | |
| 2022 | 177,799 | $21.68M | |
| 2023 | 130,778 | $23.75M | |
| 2024incomplete | 133,051 | $25.37M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2013 | Habilitation, educational, waiver; per hour | 29% | 250,115 | 11,529 | $37.62M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 27% | 221,745 | 12,214 | $34.74M |
| T2012 | Habilitation, educational; waiver, per diem | 20% | 133,860 | 5,036 | $25.19M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 7.5% | 48,217 | 1,562 | $9.55M |
| T2020 | Day habilitation, waiver; per diem | 7.0% | 52,008 | 1,652 | $8.99M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 4.3% | 73,095 | 4,482 | $5.44M |
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 2.7% | 20,702 | 965 | $3.42M |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 1.6% | 29,157 | 4,865 | $2.10M |
| H0045 | Respite care services, not in the home, per diem | <1% | 3,677 | 513 | $346K |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 840 | 108 | $145K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 139 | 102 | $3K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 13 | 13 | $769.35 |
1 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 24 | $193.77 |
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 officialCHOATE, CAROL (PRESIDENT)