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

Care Advantage, INC.

Care Advantage, INC. was paid $5.65M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 95% of everything it billed.

33Billing provider infoCARE ADVANTAGE, INC.
RICHMOND, VA 23228
33aNPI1558697557assigned 10/26/2009
33bProvider typeNursing Care Agency
28Total paid$5.65M
24GClaims60,874
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nursing Care Agency providers in Virginia

Rank by total paid#5 of 21
Median peer was paid$2.44M
This provider vs. median2.3×

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 Concentration95% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
2018856$287K
20193,053$492K
20206,379$446K
20215,146$448K
20224,580$409K
20237,786$751K
2024incomplete33,074$2.82M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 95% 56,077 3,111 $5.38M
T1005 Respite care services, up to 15 minutes 4.1% 4,755 523 $231K
G2021 Health care practitioners rendering treatment in place (tip) <1% 42 16 $41K

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 officialJOHNSTON, DEBORAH (OWNER)
Same official

Other billing entities under JOHNSTON, DEBORAH

Full network →
ProviderLocationPaid
Care Advantage, INCNorth Chesterfield, VA$56.95M
Care Advantage, INCNewport News, VA$17.43M
Care Advantage, INC.Staunton, VA$11.27M
Care Advantage, INCRichmond, VA$10.70M
Care Advantage, INCColonial Heights, VA$10.38M
Care Advantage, INCRichmond, VA$10.01M
Care Advantage, INC.Roanoke, VA$8.47M
Care Advantage, INCVirginia Beach, VA$8.30M
Care Advantage, INC.Emporia, VA$7.33M
Care Advantage, INC.Franklin, VA$6.09M

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