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

Community Innovations

Community Innovations was paid $73.85M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is T2013, Habilitation, educational, waiver; per hour — 22% of everything it billed.

33Billing provider infoCOMMUNITY INNOVATIONS
WHITEVILLE, NC 28472
33aNPI1912099623assigned 09/29/2006
28Total paid$73.85M
24GClaims467,067
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

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

Rank by total paid#6 of 856
Median peer was paid$908K
This provider vs. median81×

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$1.0M$2.0M2018201920202021202220232024
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
201845,318$6.40M
201962,600$8.81M
202063,495$9.71M
202162,503$9.70M
202274,574$10.73M
202386,011$14.82M
2024incomplete72,566$13.68M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2013 Habilitation, educational, waiver; per hour 22% 100,535 4,585 $16.52M
T2020 Day habilitation, waiver; per diem 22% 91,448 2,944 $16.07M
T2014 Habilitation, prevocational, waiver; per diem 14% 67,672 2,155 $10.30M
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 13% 72,715 3,549 $9.71M
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 13% 48,567 1,475 $9.33M
T2012 Habilitation, educational; waiver, per diem 8.0% 29,577 1,075 $5.89M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 5.5% 37,790 2,802 $4.06M
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes 1.4% 10,834 1,987 $1.01M
H2025 Ongoing support to maintain employment, per 15 minutes 1.3% 7,929 645 $954K

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 officialANDERSON, ANDY (PRESIDENT)