Clinic
Advance Community Health, INC
Advance Community Health, INC was paid $10.81M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoADVANCE COMMUNITY HEALTH, INC
RALEIGH, NC 27610
RALEIGH, NC 27610
33aNPI1871589762assigned 09/26/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.81M
24GClaims251,832
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in North Carolina
Rank by total paid#4 of 324
Median peer was paid$279K
This provider vs. median39×
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 | 4,482 | $544K | |
| 2019 | 5,127 | $600K | |
| 2020 | 4,785 | $659K | |
| 2021 | 42,163 | $1.25M | |
| 2022 | 86,746 | $2.00M | |
| 2023 | 64,432 | $3.06M | |
| 2024incomplete | 44,097 | $2.70M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 82% | 41,242 | 30,469 | $8.86M |
| 99199 | Unlisted special service, procedure or report | 5.9% | 128,603 | 80,097 | $643K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 2,240 | 1,820 | $239K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 2,200 | 1,783 | $234K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 2,020 | 1,694 | $212K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.4% | 6,917 | 5,504 | $148K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 1,237 | 1,007 | $117K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 10,814 | 8,498 | $115K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12,559 | 10,247 | $93K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 810 | 739 | $37K |
| 92551 | <1% | 8,512 | 6,860 | $27K | |
| 99383 | <1% | 206 | 160 | $17K |
36 more codes
| 99384 | <1% | 174 | $13K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,001 | $13K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 888 | $12K |
| 85018 | <1% | 3,739 | $11K | |
| 99173 | <1% | 8,542 | $7K | |
| 97802 | <1% | 49 | $3K | |
| 90474 | <1% | 244 | $2K | |
| 99382 | <1% | 21 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 607 | $1K |
| 90651 | <1% | 1,360 | $1K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 79 | $1K |
| 87807 | <1% | 44 | $704.44 | |
| 36416 | <1% | 2,315 | $641.58 | |
| 90686 | <1% | 2,069 | $575.67 | |
| 90620 | <1% | 394 | $409.94 | |
| 90677 | <1% | 377 | $268.63 | |
| 90619 | <1% | 624 | $206.42 | |
| 96127 | <1% | 355 | $168.18 | |
| 90715 | <1% | 294 | $99.26 | |
| 99188 | <1% | 17 | $7.55 | |
| 90670 | 0% | 904 | $0.00 | |
| 90734 | 0% | 500 | $0.00 | |
| 3078F | 0% | 1,947 | $0.00 | |
| 90633 | 0% | 724 | $0.00 | |
| 90710 | 0% | 32 | $0.00 | |
| 90649 | 0% | 21 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 3074F | 0% | 2,065 | $0.00 | |
| 90680 | 0% | 242 | $0.00 | |
| 90647 | 0% | 673 | $0.00 | |
| 90656 | 0% | 384 | $0.00 | |
| 3008F | 0% | 2,325 | $0.00 | |
| 90723 | 0% | 674 | $0.00 | |
| 4037F | 0% | 495 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 259 | $0.00 |
| 90732 | 0% | 22 | $0.00 |
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 officialMCCRAY, SCOT (CEO)
| Provider | Location | Paid |
|---|---|---|
| Advance Community Health, INC | Raleigh, NC | $10.66M |
| Advance Community Health, INC | Apex, NC | $2.65M |
| Advance Community Health, INC | Louisburg, NC | $1.73M |
| Advance Community Health, INC | Raleigh, NC | $1.60M |
| Advance Community Health, INC | Fuquay Varina, NC | $670K |
| Advance Community Health, INC | Raleigh, NC | $479K |
| Advance Community Health, INC | Cary, NC | $359K |
| Advance Community Health, INC | Cary, NC | $44K |
| Advance Community Health, INC | Raleigh, NC | $42K |
| Advance Community Health, INC | Louisburg, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.