North Carolina Medicaid Spending
North Carolina's Medicaid program paid $4.59B across 16 providers from 2018–2024. 22 providers in North Carolina are flagged on our risk watchlist. The top procedure code is T2013 (Habilitation, residential, waiver, per hour) at $341.2M.
Total Spending
$4.59B
Total Claims
159.0M
Top Providers
16
Beneficiaries
132.2M
Flagged Providers
22
on risk watchlist
Avg Per Provider
$287.2M
across 16 providers
Yearly Spending Trend
Top Providers in North Carolina
Laboratory Corporation of America Holdings
Clinical Medical Laboratory · Burlington
$1.44B
103.9M claims
Aeroflow INC
Durable Medical Equipment & Medical Supplies · Arden
$571.7M
9.6M claims
Abound Health, LLC
In Home Supportive Care · Mint Hill
$324.3M
2.2M claims
Laboratory Corporation of America Holdings
Clinical Medical Laboratory · Research Triangle Park
$281.4M
4.8M claims
Laboratory Corporation of America Holdings
Clinical Medical Laboratory · Burlington
$264.3M
15.3M claims
Abound Health LLC
Community/Behavioral Health · Mint Hill
$201.2M
1.4M claims
Lindley Habilitation Services INC
Community/Behavioral Health · Greensboro
$188.0M
1.3M claims
Wake Forest University Health Sciences
Clinic/Center, Multi-Specialty · Winston Salem
$188.0M
7.3M claims
Carolinas Medical Center
General Acute Care Hospital · Charlotte
$177.7M
3.1M claims
Universal Mental Health Services Inc.
Community/Behavioral Health · Lenoir
$158.1M
1.0M claims
Wakemed
General Acute Care Hospital · Raleigh
$140.7M
1.5M claims
North Carolina Baptist Hospital
General Acute Care Hospital · Winston Salem
$138.2M
2.4M claims
Acumen of North Carolina, LLC
Case Management · Charlotte
$134.3M
1.5M claims
The Moses H. Cone Memorial Hospital Operating Corporation
General Acute Care Hospital · Greensboro
$133.1M
2.2M claims
Comprehab LLC
Speech-Language Pathologist, · Gastonia
$129.8M
676K claims
A Caring Heart Case Management, Inc.
Case Management · Wilson
$127.6M
834K claims
Flagged Providers in North Carolina
Laboratory Corporation of America Holdings
$1.44B
1 flag
Aeroflow INC
$571.7M
1 flag
Laboratory Corporation of America Holdings
$281.4M
1 flag
Laboratory Corporation of America Holdings
$264.3M
1 flag
Wake Forest University Health Sciences
$188.0M
1 flag
A Primary Choice, Inc.
$70.9M
1 flag
Wakemed
$65.6M
1 flag
Novant Health New Hanover Regional Medical Center LLC
$57.5M
1 flag
Smoky Mountain Center for Mh/dd/sas
$51.5M
1 flag
Duke Health Integrated Practice, Inc.
$36.7M
1 flag
Showing 10 of 22 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in North Carolina
| Code | Total Paid |
|---|---|
| T2013 Habilitation, residential, waiver, per hour | $341.2M |
| U0003 Infectious disease detection (COVID-19) | $291.5M |
| 81420 Fetal chromosomal aneuploidy genomic sequence analysis | $191.4M |
| T2012 Habilitation, educational; per 15 min | $187.8M |
| 99284 Emergency dept visit, high complexity | $176.8M |
| T2021 Day habilitation, waiver; per 15 min | $156.2M |
| 99283 Emergency dept visit, moderate complexity | $131.3M |
| 87491 Chlamydia detection, nucleic acid, amplified probe | $101.0M |
| 80307 Drug test, presumptive, by chemistry analyzers | $100.5M |
| 87591 Neisseria gonorrhoeae detection, nucleic acid, amplified probe | $94.7M |
| 97153 Adaptive behavior treatment by protocol, per 15 min | $92.6M |
| H2016 Comprehensive community support services, per 15 min | $85.8M |
| E0603 Breast pump, electric, any type | $84.4M |
| 87798 Infectious agent detection, nucleic acid, not otherwise specified | $84.3M |
| S5135 Companion care, adult, per diem | $75.4M |