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

CAROLINAS HOME CARE AGENCY, INC.

Community/Behavioral Health·WHITEVILLE, NC·NPI: 1881728152Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.9M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-10(82 months)

Total Paid

$45.9M

$45,895,279

Total Claims

270K

Beneficiaries

13K

20.2 claims/patient

Avg Cost/Claim

$170

Monthly Spending Trend

Yearly Spending

2018
$5.4M
+10%
2019
$6.0M
+17%
2020
$7.0M
-10%
2021
$6.3M
+13%
2022
$7.1M
-6%
2023
$6.6M
+15%
2024
$7.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 31% of total spending.

T2021Normal range

Day habilitation, waiver; per 15 min

$14.0M

85K claims · 30.5%

Your Cost: $163.96/claim|Median: $150.51
1.1× median
T2013Normal range

Habilitation, residential, waiver, per hour

$13.7M

85K claims · 29.9%

Your Cost: $160.69/claim|Median: $158.23
1.0× median
H2016Normal range

Comprehensive community support services, per 15 min

$6.5M

18K claims · 14.2%

Your Cost: $353.31/claim|Median: $321.53
1.1× median
T2020Top 25%

Day habilitation, waiver; per diem

$5.0M

21K claims · 11.0%

Your Cost: $235.85/claim|Median: $87.34
2.7× median
T2033Normal range

Residential care, NOS; per diem

$2.1M

975 claims · 4.6%

Your Cost: $2,160.79/claim|Median: $1,051.57
2.1× median
S5125Normal range

Attendant care services, per 15 min

$1.5M

20K claims · 3.2%

Your Cost: $75.04/claim|Median: $82.34
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$1.2M

17K claims · 2.5%

Your Cost: $69.13/claim|Median: $96.24
0.7× median
99509Normal range

Home visit, assistance w/ ADLs

$681K

15K claims · 1.5%

Your Cost: $45.27/claim|Median: $51.71
0.9× median
T1019Top 1%

Personal care services, per 15 min

$521K

384 claims · 1.1%

Your Cost: $1,356.20/claim|Median: $82.47
16.4× median
T2012Normal range

Habilitation, educational; per 15 min

$388K

2,122 claims · 0.8%

Your Cost: $182.67/claim|Median: $177.54
1.0× median
S5150Normal range

Unskilled respite care, per 15 min

$296K

4,268 claims · 0.6%

Your Cost: $69.31/claim|Median: $84.46
0.8× median