Clinic
Advance Behavioral Center, INC.
Advance Behavioral Center, INC. was paid $8.05M by Medicaid between Jan 2018 and Jan 2024, across 15 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 78% of everything it billed.
33Billing provider infoADVANCE BEHAVIORAL CENTER, INC.
SANFORD, NC 27330
SANFORD, NC 27330
33aNPI1730310533assigned 07/28/2009
33bProvider typeAdolescent and Children Mental Health Clinic/Center
28Total paid$8.05M
24GClaims45,803
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Adolescent and Children Mental Health Clinic/Center providers in North Carolina
Rank by total paid#3 of 18
Median peer was paid$812K
This provider vs. median9.9×
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 | 6,540 | $1.34M | |
| 2019 | 5,662 | $1.16M | |
| 2020 | 7,518 | $1.51M | |
| 2021 | 9,049 | $1.65M | |
| 2022 | 10,709 | $1.48M | |
| 2023 | 6,242 | $907K | |
| 2024incomplete | 83 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 78% | 29,116 | 1,483 | $6.24M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 10% | 5,455 | 407 | $835K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 4,904 | 4,227 | $292K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.2% | 2,377 | 1,958 | $261K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 1.8% | 651 | 629 | $147K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.7% | 1,772 | 887 | $136K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 767 | 581 | $47K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 330 | 235 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 213 | 213 | $22K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 93 | 91 | $14K |
| H2022GT | <1% | 48 | 16 | $13K | |
| H2015HT | <1% | 30 | 15 | $7K |
3 more codes
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 officialHIGHTOWER, EDDIE (CO-OWNER)