Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

THE ARC OF NORTH CAROLINA

Community/Behavioral Health·RALEIGH, NC·NPI: 1396811618Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $77.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$77.6M

$77,639,263

Total Claims

506K

Beneficiaries

139K

3.6 claims/patient

Avg Cost/Claim

$154

Monthly Spending Trend

Yearly Spending

2018
$9.8M
+2%
2019
$10.0M
+0%
2020
$10.0M
-1%
2021
$9.9M
-1%
2022
$9.8M
+36%
2023
$13.3M
+11%
2024
$14.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 44% of total spending.

T2013Normal range

Habilitation, residential, waiver, per hour

$34.3M

215K claims · 44.2%

Your Cost: $159.30/claim|Median: $158.23
1.0× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$14.3M

97K claims · 18.4%

Your Cost: $146.91/claim|Median: $162.29
0.9× median
T2012Normal range

Habilitation, educational; per 15 min

$14.1M

85K claims · 18.2%

Your Cost: $166.31/claim|Median: $177.54
0.9× median
T1017Top 25%

Targeted case management, per 15 min

$9.1M

36K claims · 11.7%

Your Cost: $250.39/claim|Median: $69.56
3.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.3M

26K claims · 2.9%

Your Cost: $86.19/claim|Median: $96.24
0.9× median
S5150Normal range

Unskilled respite care, per 15 min

$1.9M

28K claims · 2.4%

Your Cost: $68.31/claim|Median: $84.46
0.8× median
H0045Normal range

Respite care services, not in the home, per diem

$1.1M

13K claims · 1.4%

Your Cost: $85.98/claim|Median: $119.19
0.7× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$445K

4,207 claims · 0.6%

Your Cost: $105.74/claim|Median: $100.49
1.1× median
T1019Top 25%

Personal care services, per 15 min

$27K

147 claims · 0.0%

Your Cost: $185.75/claim|Median: $82.47
2.3× median
S5135Top 25%

Companion care, adult, per diem

$19K

128 claims · 0.0%

Your Cost: $150.01/claim|Median: $52.25
2.9× median
T2013TFNormal range

$18K

109 claims · 0.0%

Your Cost: $168.77/claim|Median: $168.77
1.0× median
99509Top 10%

Home visit, assistance w/ ADLs

$8K

48 claims · 0.0%

Your Cost: $157.95/claim|Median: $51.71
3.1× median