Is A CARING ALTERNATIVE, LLC flagged for Medicaid fraud?

A CARING ALTERNATIVE, LLC (NPI: 1720514920) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does A CARING ALTERNATIVE, LLC bill Medicaid?

A CARING ALTERNATIVE, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in MORGANTON, NC.

What is NPI 1720514920?

NPI 1720514920 is the National Provider Identifier for A CARING ALTERNATIVE, LLC. They are a Community/Behavioral Health provider based in MORGANTON, NC. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

A CARING ALTERNATIVE, LLC

Community/Behavioral Health·MORGANTON, NC·NPI: 1720514920Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.7M is at the 25th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$19.7M

$19,671,048

Total Claims

148K

Beneficiaries

31K

4.8 claims/patient

Avg Cost/Claim

$133

Monthly Spending Trend

Yearly Spending

2018

$1.4M

+59%

2019

$2.3M

+32%

2020

$3.0M

+8%

2021

$3.3M

-6%

2022

$3.1M

-3%

2023

$3.0M

+17%

2024

$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 35% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2015Comprehensive community support services, per 15 minSee all providers →

$6.9M

32K claims

$215.50

$96.24

2.2×

Top 25%

H2015Top 25%

Comprehensive community support services, per 15 min

$6.9M

32K claims · 34.8%

Your Cost: $215.50/claim|Median: $96.24

2.2× median

S5145Foster care, therapeutic, child, per diemSee all providers →

$4.3M

40K claims

$109.09

$216.31

0.5×

Normal range

S5145Normal range

Foster care, therapeutic, child, per diem

$4.3M

40K claims · 22.0%

Your Cost: $109.09/claim|Median: $216.31

0.5× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$3.0M

29K claims

$104.23

$55.04

1.9×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$3.0M

29K claims · 15.2%

Your Cost: $104.23/claim|Median: $55.04

1.9× median

H2022Community-based wrap-around services, per diemSee all providers →

$2.5M

10K claims

$241.95

$336.31

0.7×

Normal range

H2022Normal range

Community-based wrap-around services, per diem

$2.5M

10K claims · 12.5%

Your Cost: $241.95/claim|Median: $336.31

0.7× median

T1019Personal care services, per 15 minSee all providers →

$1.1M

11K claims

$100.82

$82.47

1.2×

Normal range

T1019Normal range

Personal care services, per 15 min

$1.1M

11K claims · 5.5%

Your Cost: $100.82/claim|Median: $82.47

1.2× median

90837Psychotherapy, 60 minutesSee all providers →

$667K

8,316 claims

$80.18

$85.66

0.9×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$667K

8,316 claims · 3.4%

Your Cost: $80.18/claim|Median: $85.66

0.9× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$331K

4,537 claims

$72.96

$53.41

1.4×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$331K

4,537 claims · 1.7%

Your Cost: $72.96/claim|Median: $53.41

1.4× median

90832Psychotherapy, 30 minutesSee all providers →

$287K

6,573 claims

$43.62

$41.28

1.1×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$287K

6,573 claims · 1.5%

Your Cost: $43.62/claim|Median: $41.28

1.1× median

T1017Targeted case management, per 15 minSee all providers →

$258K

1,008 claims

$256.08

$69.56

3.7×

Top 25%

T1017Top 25%

Targeted case management, per 15 min

$258K

1,008 claims · 1.3%

Your Cost: $256.08/claim|Median: $69.56

3.7× median

H0032Mental health service plan developmentSee all providers →

$253K

2,598 claims

$97.43

$80.64

1.2×

Normal range

H0032Normal range

Mental health service plan development

$253K

2,598 claims · 1.3%

Your Cost: $97.43/claim|Median: $80.64

1.2× median

90833Psychotherapy, 30 min, add-on to E/M serviceSee all providers →

$78K

2,533 claims

$30.69

$38.83

0.8×

Normal range

90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$78K

2,533 claims · 0.4%

Your Cost: $30.69/claim|Median: $38.83

0.8× median

90834Psychotherapy, 45 minutesSee all providers →

$51K

1,145 claims

$44.55

$63.65

0.7×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$51K

1,145 claims · 0.3%

Your Cost: $44.55/claim|Median: $63.65

0.7× median

90791Psychiatric diagnostic evaluationSee all providers →

$12K

140 claims

$82.62

$99.21

0.8×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$12K

140 claims · 0.1%

Your Cost: $82.62/claim|Median: $99.21

0.8× median

H2015HT See all providers →

$6K

30 claims

$213.09

$173.43

1.2×

Top 25%

H2015HTTop 25%

$6K

30 claims · 0.0%

Your Cost: $213.09/claim|Median: $173.43

1.2× median

99205Office/outpatient visit, new patient, high complexitySee all providers →

$4K

27 claims

$139.29

$111.09

1.3×

Normal range

99205Normal range

Office/outpatient visit, new patient, high complexity

$4K

27 claims · 0.0%

Your Cost: $139.29/claim|Median: $111.09

1.3× median

T1019U4 See all providers →

$3K

26 claims

$103.71

$143.04

0.7×

Normal range

T1019U4Normal range

$3K

26 claims · 0.0%

Your Cost: $103.71/claim|Median: $143.04

0.7× median

90847Family psychotherapy with patient, 50 minSee all providers →

$2K

33 claims

$65.09

$77.33

0.8×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$2K

33 claims · 0.0%

Your Cost: $65.09/claim|Median: $77.33

0.8× median

H0038CR See all providers →

$2K

19 claims

$80.46

$54.80

1.5×

Top 1%

H0038CRTop 1%

$2K

19 claims · 0.0%

Your Cost: $80.46/claim|Median: $54.80

1.5× median

99443Telephone E/M by physician, 21-30 minSee all providers →

$571

19 claims

$30.03

$32.55

0.9×

Normal range

99443Normal range

Telephone E/M by physician, 21-30 min

$571

19 claims · 0.0%

Your Cost: $30.03/claim|Median: $32.55

0.9× 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 →