Agency
Advantage Behavioral Healthcare INC.
Advantage Behavioral Healthcare INC. was paid $20.04M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is T2013, Habilitation, educational, waiver; per hour — 39% of everything it billed.
33Billing provider infoADVANTAGE BEHAVIORAL HEALTHCARE INC.
WHITEVILLE, NC 28472
WHITEVILLE, NC 28472
33aNPI1689750663assigned 10/31/2006
33bProvider typeCase Management Agency
28Total paid$20.04M
24GClaims131,396
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#15 of 195
Median peer was paid$2.05M
This provider vs. median9.8×
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 | 20,632 | $3.02M | |
| 2019 | 23,181 | $3.41M | |
| 2020 | 21,942 | $3.35M | |
| 2021 | 19,001 | $2.85M | |
| 2022 | 20,982 | $2.96M | |
| 2023 | 14,879 | $2.24M | |
| 2024incomplete | 10,779 | $2.20M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2013 | Habilitation, educational, waiver; per hour | 39% | 41,890 | 1,695 | $7.86M |
| H2022 | Community-based wrap-around services, per diem | 34% | 26,679 | 2,338 | $6.79M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 12% | 30,940 | 1,946 | $2.41M |
| H2012 | Behavioral health day treatment, per hour | 4.8% | 5,452 | 464 | $957K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.1% | 10,949 | 5,782 | $831K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 2.2% | 1,982 | 1,829 | $444K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 7,281 | 6,814 | $388K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 2,468 | 1,847 | $166K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,601 | 1,850 | $134K |
| H0032 | Mental health service plan development by non-physician | <1% | 391 | 103 | $32K |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | <1% | 452 | 76 | $31K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 289 | 196 | $10K |
1 more codes
| 99442 | <1% | 22 | $524.77 |
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 officialHUNT, KENNETH (CEO)