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Universal Mental Health Services Inc.

Community/Behavioral Health·Lenoir, NC·NPI: 1336361427Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $158.1M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$158.1M

$158,120,711

Total Claims

1.0M

Beneficiaries

57K

18.4 claims/patient

Avg Cost/Claim

$152

#664 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Universal Mental Health Services Inc. is a Community/Behavioral Health provider based in Lenoir, NC. From the 2018–2024 period, this provider received $158.1M in Medicaid payments across 1.0M claims.

Why This Matters

This provider received $158.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,765 Medicaid beneficiaries for a full year at average per-enrollee costs.

67% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.8M
-0%
2019
$17.8M
+1%
2020
$17.9M
+5%
2021
$18.9M
+9%
2022
$20.6M
+72%
2023
$35.5M
-17%
2024
$29.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 36% of total spending.

T2013Normal range

Habilitation, residential, waiver, per hour

$56.4M

357K claims · 35.7%

Your Cost: $158.23/claim|Median: $158.23
1.0× median
T2012Normal range

Habilitation, educational; per 15 min

$26.4M

137K claims · 16.7%

Your Cost: $192.56/claim|Median: $177.54
1.1× median
T2020Top 25%

Day habilitation, waiver; per diem

$17.9M

106K claims · 11.3%

Your Cost: $169.24/claim|Median: $87.34
1.9× median
H2016Normal range

Comprehensive community support services, per 15 min

$15.0M

78K claims · 9.5%

Your Cost: $192.88/claim|Median: $321.53
0.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$10.7M

102K claims · 6.8%

Your Cost: $104.96/claim|Median: $96.24
1.1× median
T2014Top 25%

Habilitation, prevocational, waiver, per hour

$7.7M

51K claims · 4.9%

Your Cost: $151.27/claim|Median: $74.75
2.0× median
S5150Normal range

Unskilled respite care, per 15 min

$5.9M

66K claims · 3.7%

Your Cost: $89.61/claim|Median: $84.46
1.1× median
T2021Normal range

Day habilitation, waiver; per 15 min

$4.7M

46K claims · 3.0%

Your Cost: $102.42/claim|Median: $150.51
0.7× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$4.3M

31K claims · 2.7%

Your Cost: $138.22/claim|Median: $100.49
1.4× median
H2023Top 25%

Supported employment, per 15 min

$3.2M

16K claims · 2.0%

Your Cost: $204.59/claim|Median: $103.94
2.0× median
T2033Normal range

Residential care, NOS; per diem

$2.3M

11K claims · 1.4%

Your Cost: $211.90/claim|Median: $1,051.57
0.2× median
H0045Normal range

Respite care services, not in the home, per diem

$1.5M

13K claims · 1.0%

Your Cost: $120.14/claim|Median: $119.19
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$1.1M

20K claims · 0.7%

Your Cost: $54.00/claim|Median: $55.04
1.0× median
99509Top 25%

Home visit, assistance w/ ADLs

$326K

3K claims · 0.2%

Your Cost: $126.50/claim|Median: $51.71
2.5× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$304K

2K claims · 0.2%

Your Cost: $147.60/claim|Median: $162.29
0.9× median
S5125Top 25%

Attendant care services, per 15 min

$232K

2K claims · 0.1%

Your Cost: $146.64/claim|Median: $82.34
1.8× median
T2013TFNormal range

$72K

436 claims · 0.0%

Your Cost: $164.20/claim|Median: $168.77
1.0× median
H2026Top 25%

$45K

241 claims · 0.0%

Your Cost: $185.39/claim|Median: $76.18
2.4× median
H2023U4Normal range

$12K

58 claims · 0.0%

Your Cost: $214.92/claim|Median: $149.78
1.4× median
S5135Top 25%

Companion care, adult, per diem

$4K

30 claims · 0.0%

Your Cost: $149.07/claim|Median: $52.25
2.9× median
T1016Normal range

Case management, each 15 min

$555

27 claims · 0.0%

Your Cost: $20.56/claim|Median: $49.62
0.4× median