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AUTISM SOCIETY OF NORTH CAROLINA, INC.

Community/Behavioral Health·RALEIGH, NC·NPI: 1881751865Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $95.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$95.8M

$95,750,887

Total Claims

826K

Beneficiaries

65K

12.7 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$12.7M
+4%
2019
$13.2M
-13%
2020
$11.5M
+7%
2021
$12.2M
+6%
2022
$13.0M
+32%
2023
$17.1M
-6%
2024
$16.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 39% of total spending.

T2013Normal range

Habilitation, residential, waiver, per hour

$37.8M

310K claims · 39.5%

Your Cost: $121.83/claim|Median: $158.23
0.8× median
T2021Normal range

Day habilitation, waiver; per 15 min

$15.8M

124K claims · 16.5%

Your Cost: $127.18/claim|Median: $150.51
0.8× median
T2012Normal range

Habilitation, educational; per 15 min

$11.2M

74K claims · 11.7%

Your Cost: $151.45/claim|Median: $177.54
0.9× median
H0045Normal range

Respite care services, not in the home, per diem

$8.1M

106K claims · 8.5%

Your Cost: $76.83/claim|Median: $119.19
0.6× median
H2025Normal range

Ongoing support to maintain employment, per 15 min

$5.2M

50K claims · 5.4%

Your Cost: $103.03/claim|Median: $100.49
1.0× median
97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$4.6M

26K claims · 4.8%

Your Cost: $176.78/claim|Median: $167.38
1.1× median
H2015Normal range

Comprehensive community support services, per 15 min

$3.8M

60K claims · 3.9%

Your Cost: $63.36/claim|Median: $96.24
0.7× median
T2025Normal range

Waiver services, NOS; per 15 min

$2.8M

17K claims · 2.9%

Your Cost: $164.32/claim|Median: $124.39
1.3× median
S5150Normal range

Unskilled respite care, per 15 min

$1.6M

24K claims · 1.7%

Your Cost: $68.95/claim|Median: $84.46
0.8× median
97155Top 25%

Adaptive behavior treatment with protocol modification, per 15 minutes

$1.5M

7,073 claims · 1.5%

Your Cost: $206.68/claim|Median: $146.45
1.4× median
97152Top 25%

$754K

2,884 claims · 0.8%

Your Cost: $261.32/claim|Median: $155.16
1.7× median
T1017Top 25%

Targeted case management, per 15 min

$649K

3,022 claims · 0.7%

Your Cost: $214.65/claim|Median: $69.56
3.1× median
0365TNormal range

Adaptive behavior treatment, each additional thirty minutes

$645K

4,488 claims · 0.7%

Your Cost: $143.81/claim|Median: $106.05
1.4× median
H2026Normal range

$325K

4,869 claims · 0.3%

Your Cost: $66.80/claim|Median: $76.18
0.9× median
T2041Normal range

Supports brokerage, self-directed; per 15 min

$321K

1,592 claims · 0.3%

Your Cost: $201.40/claim|Median: $162.29
1.2× median
97156Normal range

$182K

2,335 claims · 0.2%

Your Cost: $77.91/claim|Median: $88.65
0.9× median
0364TNormal range

$124K

4,574 claims · 0.1%

Your Cost: $27.07/claim|Median: $21.31
1.3× median
0369TTop 25%

$122K

621 claims · 0.1%

Your Cost: $196.85/claim|Median: $102.36
1.9× median
97151Normal range

Behavior identification assessment

$122K

930 claims · 0.1%

Your Cost: $131.05/claim|Median: $161.10
0.8× median
H0038Normal range

Self-help/peer services, per 15 minutes

$81K

2,014 claims · 0.1%

Your Cost: $40.03/claim|Median: $55.04
0.7× median
T2016Normal range

Habilitation, residential, waiver; per diem

$53K

452 claims · 0.1%

Your Cost: $116.76/claim|Median: $331.94
0.4× median
T2013TFNormal range

$39K

272 claims · 0.0%

Your Cost: $142.22/claim|Median: $168.77
0.8× median
0368TNormal range

$37K

690 claims · 0.0%

Your Cost: $54.05/claim|Median: $44.63
1.2× median
S5135Normal range

Companion care, adult, per diem

$5K

71 claims · 0.0%

Your Cost: $69.35/claim|Median: $52.25
1.3× median
T2025HOTop 1%

$2K

14 claims · 0.0%

Your Cost: $147.32/claim|Median: $147.32
1.0× median
99509Top 10%

Home visit, assistance w/ ADLs

$2K

12 claims · 0.0%

Your Cost: $137.20/claim|Median: $51.71
2.7× median

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