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CNC-ACCESS INC

Community/Behavioral Health·FOREST CITY, NC·NPI: 1790801819Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $78.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$78.6M

$78,616,009

Total Claims

691K

Beneficiaries

39K

17.6 claims/patient

Avg Cost/Claim

$114

Monthly Spending Trend

Yearly Spending

2018
$10.2M
+10%
2019
$11.3M
-4%
2020
$10.8M
-9%
2021
$9.9M
+8%
2022
$10.6M
+24%
2023
$13.2M
-5%
2024
$12.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 64% of total spending.

T2013Normal range

Habilitation, residential, waiver, per hour

$50.5M

349K claims · 64.3%

Your Cost: $144.74/claim|Median: $158.23
0.9× median
S5125Normal range

Attendant care services, per 15 min

$15.9M

190K claims · 20.3%

Your Cost: $83.78/claim|Median: $82.34
1.0× median
H0045Normal range

Respite care services, not in the home, per diem

$5.6M

73K claims · 7.1%

Your Cost: $76.23/claim|Median: $119.19
0.6× median
S5150Normal range

Unskilled respite care, per 15 min

$2.6M

41K claims · 3.3%

Your Cost: $63.71/claim|Median: $84.46
0.8× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.5M

24K claims · 3.1%

Your Cost: $100.95/claim|Median: $96.24
1.0× median
T1019Normal range

Personal care services, per 15 min

$915K

6,485 claims · 1.2%

Your Cost: $141.03/claim|Median: $82.47
1.7× median
T2012Normal range

Habilitation, educational; per 15 min

$312K

3,415 claims · 0.4%

Your Cost: $91.30/claim|Median: $177.54
0.5× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$150K

1,267 claims · 0.2%

Your Cost: $118.00/claim|Median: $162.29
0.7× median
H2023Normal range

Supported employment, per 15 min

$62K

461 claims · 0.1%

Your Cost: $134.98/claim|Median: $103.94
1.3× median
99509Normal range

Home visit, assistance w/ ADLs

$2K

63 claims · 0.0%

Your Cost: $32.58/claim|Median: $51.71
0.6× median

$0

237 claims · 0.0%