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

A Caring Alternative, LLC

A Caring Alternative, LLC was paid $19.67M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 35% of everything it billed.

33Billing provider infoA CARING ALTERNATIVE, LLC
MORGANTON, NC 28655
33aNPI1720514920assigned 05/08/2017
28Total paid$19.67M
24GClaims148,091
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in North Carolina

Rank by total paid#39 of 856
Median peer was paid$908K
This provider vs. median22×

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$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
201815,787$1.45M
201923,265$2.30M
202025,688$3.05M
202124,513$3.29M
202222,176$3.08M
202319,375$3.00M
2024incomplete17,287$3.51M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 35% 31,811 4,942 $6.86M
S5145 Foster care, therapeutic, child; per diem 22% 39,663 1,393 $4.33M
H0038 Self-help/peer services, per 15 minutes 15% 28,669 5,522 $2.99M
H2022 Community-based wrap-around services, per diem 13% 10,176 959 $2.46M
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) 5.5% 10,768 1,129 $1.09M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 3.4% 8,316 4,721 $667K
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 1.7% 4,537 3,791 $331K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 1.5% 6,573 4,206 $287K
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 1.3% 1,008 757 $258K
H0032 Mental health service plan development by non-physician 1.3% 2,598 555 $253K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 2,533 2,068 $78K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 1,145 755 $51K
7 more codes
90791 Psychiatric diagnostic evaluation <1% 140 $12K
H2015HT <1% 30 $6K
99205 Prolong outpt/office vis <1% 27 $4K
T1019U4 <1% 26 $3K
90847 Family psychotherapy with the patient present, 50 minutes <1% 33 $2K
H0038CR <1% 19 $2K
99443 <1% 19 $570.66

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 officialRHONEY, MELAINA (PRESIDENT/ OWNER)
Same official

Other billing entities under RHONEY, MELAINA

Full network →
ProviderLocationPaid
A Caring Alternative, LLCMorganton, NC$7.93M
A Caring Alternative, LLCHickory, NC$4.61M
A Caring Alternative, LLCMorganton, NC$2.07M
All 4 U Home Medical, LLCMorganton, NC$1.38M
A Caring Alternative, LLCMarion, NC$146K

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