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

Avance Care, PA

Avance Care, PA was paid $211K by Medicaid between Jan 2024 and Dec 2024, across 18 billing codes. Its largest line is 99199, Unlisted special service, procedure or report — 57% of everything it billed.

33Billing provider infoAVANCE CARE, PA
MORRISVILLE, NC 27560
33aNPI1487845020assigned 08/08/2007
33bProvider typeClinic/Center
28Total paid$211K
24GClaims23,402
24DCodes billed18
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in North Carolina

Rank by total paid#24 of 57
Median peer was paid$97K
This provider vs. median2.2×

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

$0$20K$40K2018201920202021202220232024
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
2024incomplete23,402$211K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99199 Unlisted special service, procedure or report 57% 20,251 11,766 $121K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19% 867 641 $40K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15% 702 473 $31K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2.8% 89 62 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.5% 410 326 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.4% 37 27 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.3% 37 27 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 26 12 $1K
99384 <1% 12 12 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 13 12 $332.64
99173 <1% 302 225 $329.53
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 206 166 $261.74
6 more codes
85018 <1% 71 $137.24
81003 <1% 72 $105.48
92551 <1% 268 $81.45
96127 <1% 12 $80.75
G0442 Annual alcohol misuse screening, 5 to 15 minutes 0% 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 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 officialEIRICH, MATTHEW (CEO)