Community Choice Dba Action Health Partners

Community Choice Dba Action Health Partners was paid $7.81M by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is G9149, National committee for quality assurance - level 2 medical home — 96% of everything it billed.

33Billing provider infoCOMMUNITY CHOICE DBA ACTION HEALTH PARTNERS
EAST WENATCHEE, WA 98802

33aNPI1831535046assigned 05/14/2013

33bProvider typeCase Management Agency

28Total paid$7.81M

24GClaims35,448

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Case Management Agency providers in Washington

Rank by total paid#9 of 129

Median peer was paid$423K

This provider vs. median18×

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 Concentration96% of spending on code G9149 with only 3 total codes billed. Highly concentrated billing profile.

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	4,935	$794K
2019	5,748	$1.00M
2020	5,764	$1.25M
2021	5,758	$1.43M
2022	6,370	$1.57M
2023	4,459	$1.13M
2024incomplete	2,414	$638K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9149	National committee for quality assurance - level 2 medical home	96%	33,797	33,721	$7.49M
G9148	National committee for quality assurance - level 1 medical home	3.3%	722	716	$256K
G9150	National committee for quality assurance - level 3 medical home	<1%	929	922	$67K

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 officialMILLER, DEB (EXECUTIVE DIRECTOR)