Is COMMUNITY COMPANION HOME CARE, LLC flagged for Medicaid fraud?

COMMUNITY COMPANION HOME CARE, LLC (NPI: 1720138712) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COMMUNITY COMPANION HOME CARE, LLC bill Medicaid?

COMMUNITY COMPANION HOME CARE, LLC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in MARION, NC.

What is NPI 1720138712?

NPI 1720138712 is the National Provider Identifier for COMMUNITY COMPANION HOME CARE, LLC. They are a Community/Behavioral Health provider based in MARION, NC. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

COMMUNITY COMPANION HOME CARE, LLC

Community/Behavioral Health·MARION, NC·NPI: 1720138712Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $63.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$63.6M

$63,585,401

Total Claims

403K

Beneficiaries

14K

28.6 claims/patient

Avg Cost/Claim

$158

Monthly Spending Trend

Yearly Spending

2018

$4.9M

+12%

2019

$5.6M

+16%

2020

$6.4M

+20%

2021

$7.7M

+18%

2022

$9.1M

+95%

2023

$17.8M

-32%

2024

$12.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 42% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2016Comprehensive community support services, per 15 minSee all providers →

$26.8M

135K claims

$199.00

$321.53

0.6×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$26.8M

135K claims · 42.1%

Your Cost: $199.00/claim|Median: $321.53

0.6× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$16.4M

120K claims

$137.01

$150.51

0.9×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$16.4M

120K claims · 25.8%

Your Cost: $137.01/claim|Median: $150.51

0.9× median

H2015Comprehensive community support services, per 15 minSee all providers →

$7.7M

70K claims

$110.62

$96.24

1.1×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$7.7M

70K claims · 12.1%

Your Cost: $110.62/claim|Median: $96.24

1.1× median

T2013Habilitation, residential, waiver, per hourSee all providers →

$4.3M

30K claims

$141.21

$158.23

0.9×

Normal range

T2013Normal range

Habilitation, residential, waiver, per hour

$4.3M

30K claims · 6.7%

Your Cost: $141.21/claim|Median: $158.23

0.9× median

T2012Habilitation, educational; per 15 minSee all providers →

$4.1M

21K claims

$192.97

$177.54

1.1×

Normal range

T2012Normal range

Habilitation, educational; per 15 min

$4.1M

21K claims · 6.4%

Your Cost: $192.97/claim|Median: $177.54

1.1× median

T2020Day habilitation, waiver; per diemSee all providers →

$3.4M

20K claims

$168.73

$87.34

1.9×

Top 25%

T2020Top 25%

Day habilitation, waiver; per diem

$3.4M

20K claims · 5.4%

Your Cost: $168.73/claim|Median: $87.34

1.9× median

T2016Habilitation, residential, waiver; per diemSee all providers →

$302K

1,642 claims

$184.22

$331.94

0.6×

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

$302K

1,642 claims · 0.5%

Your Cost: $184.22/claim|Median: $331.94

0.6× median

S5150Unskilled respite care, per 15 minSee all providers →

$284K

3,453 claims

$82.16

$84.46

1.0×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$284K

3,453 claims · 0.4%

Your Cost: $82.16/claim|Median: $84.46

1.0× median

H2025Ongoing support to maintain employment, per 15 minSee all providers →

$112K

1,407 claims

$79.65

$100.49

0.8×

Normal range

H2025Normal range

Ongoing support to maintain employment, per 15 min

$112K

1,407 claims · 0.2%

Your Cost: $79.65/claim|Median: $100.49

0.8× median

T2033Residential care, NOS; per diemSee all providers →

$110K

395 claims

$277.93

$1,051.57

0.3×

Normal range

T2033Normal range

Residential care, NOS; per diem

$110K

395 claims · 0.2%

Your Cost: $277.93/claim|Median: $1,051.57

0.3× median

H2016HI See all providers →

$102K

530 claims

$192.25

$191.08

1.0×

Normal range

H2016HINormal range

$102K

530 claims · 0.2%

Your Cost: $192.25/claim|Median: $191.08

1.0× median

T2013TF See all providers →

$23K

133 claims

$174.01

$168.77

1.0×

Normal range

T2013TFNormal range

$23K

133 claims · 0.0%

Your Cost: $174.01/claim|Median: $168.77

1.0× median

T2021HQ See all providers →

$2K

76 claims

$24.40

$70.77

0.3×

Normal range

T2021HQNormal range

$2K

76 claims · 0.0%

Your Cost: $24.40/claim|Median: $70.77

0.3× median

Other Top Providers in North Carolina

View all →

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$1.44B

Aeroflow INC

Durable Medical Equipment & Medical Supplies

$571.7M

Abound Health, LLC

In Home Supportive Care

$324.3M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$281.4M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providers All providers in North Carolina →How we detect fraud →