Community Advancement Agency LLC

Community Advancement Agency LLC was paid $4.34M by Medicaid between Jan 2020 and Dec 2024, across 2 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 91% of everything it billed.

33Billing provider infoCOMMUNITY ADVANCEMENT AGENCY LLC
GASTONIA, NC 28054

33aNPI1992241335assigned 01/09/2017

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$4.34M

24GClaims39,249

24DCodes billed2

24AFirst – last monthJan 2020 – Dec 2024

Compared with peers

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

Rank by total paid#195 of 856

Median peer was paid$908K

This provider vs. median4.8×

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 Concentration91% of spending on code H0038 with only 2 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
2020	1,619	$193K
2021	7,303	$717K
2022	7,765	$969K
2023	12,416	$1.36M
2024incomplete	10,146	$1.09M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0038	Self-help/peer services, per 15 minutes	91%	33,582	3,720	$3.97M
H0045	Respite care services, not in the home, per diem	8.5%	5,667	612	$369K

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 officialTINGLE, JULIAN (EXECUTIVE DIRECTOR)