Is RHA HEALTH SERVICES NC, LLC flagged for Medicaid fraud?

RHA HEALTH SERVICES NC, LLC (NPI: 1639204316) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does RHA HEALTH SERVICES NC, LLC bill Medicaid?

RHA HEALTH SERVICES NC, LLC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Day Training, Developmentally Disabled Services provider. Located in ASHEVILLE, NC.

What is NPI 1639204316?

NPI 1639204316 is the National Provider Identifier for RHA HEALTH SERVICES NC, LLC. They are a Day Training, Developmentally Disabled Services provider based in ASHEVILLE, NC. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

RHA HEALTH SERVICES NC, LLC

Day Training, Developmentally Disabled Services·ASHEVILLE, NC·NPI: 1639204316Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $117.3M is at the 50th percentile among 56 Day Training, Developmentally Disabled Services providers.

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

Total Paid

$117.3M

$117,340,105

Total Claims

897K

Beneficiaries

37K

24.1 claims/patient

Avg Cost/Claim

$131

Monthly Spending Trend

Yearly Spending

2018

$13.5M

-7%

2019

$12.5M

+7%

2020

$13.4M

+8%

2021

$14.5M

+4%

2022

$15.1M

+65%

2023

$25.0M

-7%

2024

$23.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 30% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2021Day habilitation, waiver; per 15 minSee all providers →

$34.7M

275K claims

$126.05

$150.51

0.8×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$34.7M

275K claims · 29.6%

Your Cost: $126.05/claim|Median: $150.51

0.8× median

H2016Comprehensive community support services, per 15 minSee all providers →

$23.1M

134K claims

$171.87

$321.53

0.5×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$23.1M

134K claims · 19.7%

Your Cost: $171.87/claim|Median: $321.53

0.5× median

T2020Day habilitation, waiver; per diemSee all providers →

$22.5M

152K claims

$148.17

$87.34

1.7×

Normal range

T2020Normal range

Day habilitation, waiver; per diem

$22.5M

152K claims · 19.2%

Your Cost: $148.17/claim|Median: $87.34

1.7× median

T2014Habilitation, prevocational, waiver, per hourSee all providers →

$12.2M

90K claims

$136.22

$74.75

1.8×

Normal range

T2014Normal range

Habilitation, prevocational, waiver, per hour

$12.2M

90K claims · 10.4%

Your Cost: $136.22/claim|Median: $74.75

1.8× median

T2013Habilitation, residential, waiver, per hourSee all providers →

$7.9M

55K claims

$143.00

$158.23

0.9×

Normal range

T2013Normal range

Habilitation, residential, waiver, per hour

$7.9M

55K claims · 6.7%

Your Cost: $143.00/claim|Median: $158.23

0.9× median

H2015Comprehensive community support services, per 15 minSee all providers →

$5.8M

98K claims

$58.75

$96.24

0.6×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$5.8M

98K claims · 4.9%

Your Cost: $58.75/claim|Median: $96.24

0.6× median

T2016Habilitation, residential, waiver; per diemSee all providers →

$4.9M

33K claims

$151.26

$331.94

0.5×

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

$4.9M

33K claims · 4.2%

Your Cost: $151.26/claim|Median: $331.94

0.5× median

T2012Habilitation, educational; per 15 minSee all providers →

$3.6M

27K claims

$136.54

$177.54

0.8×

Normal range

T2012Normal range

Habilitation, educational; per 15 min

$3.6M

27K claims · 3.1%

Your Cost: $136.54/claim|Median: $177.54

0.8× median

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

$1.4M

19K claims

$72.37

$100.49

0.7×

Normal range

H2025Normal range

Ongoing support to maintain employment, per 15 min

$1.4M

19K claims · 1.2%

Your Cost: $72.37/claim|Median: $100.49

0.7× median

S5150Unskilled respite care, per 15 minSee all providers →

$562K

8,424 claims

$66.75

$84.46

0.8×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$562K

8,424 claims · 0.5%

Your Cost: $66.75/claim|Median: $84.46

0.8× median

H2023Supported employment, per 15 minSee all providers →

$536K

4,315 claims

$124.30

$103.94

1.2×

Normal range

H2023Normal range

Supported employment, per 15 min

$536K

4,315 claims · 0.5%

Your Cost: $124.30/claim|Median: $103.94

1.2× median

H2026 See all providers →

$42K

681 claims

$61.87

$76.18

0.8×

Normal range

H2026Normal range

$42K

681 claims · 0.0%

Your Cost: $61.87/claim|Median: $76.18

0.8× 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 Day Training, Developmentally Disabled Services

National Mentor Healthcare

Phoenix, AZ

$459.7M

Allies, Inc.

Hamilton, NJ

$362.5M

Community Options, Inc.

Princeton, NJ

$337.9M

Disability Services of the Southwest, INC

San Antonio, TX

$302.3M

The Fogarty Center

Barrington, RI

$224.3M

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