Community Alternatives, INC.

Community Alternatives, INC. was paid $12.29M by Medicaid between Jul 2020 and Dec 2024, across 12 billing codes. Its largest line is H0032, Mental health service plan development by non-physician — 45% of everything it billed.

33Billing provider infoCOMMUNITY ALTERNATIVES, INC.
NEW CASTLE, PA 16101

33aNPI1972570430assigned 03/03/2006

33bProvider typeClinical Psychologist

28Total paid$12.29M

24GClaims100,225

24DCodes billed12

24AFirst – last monthJul 2020 – Dec 2024

Compared with peers

Next to other Clinical Psychologist providers in Pennsylvania

Rank by total paid#1 of 99

Median peer was paid$86K

This provider vs. median142×

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
2020	8,411	$715K
2021	26,382	$2.68M
2022	23,322	$2.92M
2023	21,730	$3.00M
2024incomplete	20,380	$2.97M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0032	Mental health service plan development by non-physician	45%	38,589	8,254	$5.50M
H2021	Community-based wrap-around services, per 15 minutes	23%	24,721	2,420	$2.88M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	15%	17,018	7,729	$1.85M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	8.6%	9,518	2,037	$1.05M
97155	Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes	2.5%	2,319	440	$301K
H0034	Medication training and support, per 15 minutes	1.7%	2,223	2,147	$214K
H0046	Mental health services, not otherwise specified	1.7%	2,725	547	$213K
99241		<1%	1,049	1,020	$90K
99201		<1%	960	906	$81K
90792	Psychiatric diagnostic evaluation with medical services	<1%	522	522	$44K
H0038	Self-help/peer services, per 15 minutes	<1%	346	61	$40K
97151		<1%	235	55	$26K

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 officialRUMBAUGH, RACHAEL (EXECUTIVE DIRECTOR)