Medicaid Provider Spending Explorer

T-MSIS provider-level spending data, Jan 2018 – Dec 2024

Data note: November and December 2024 data may be incomplete due to CMS reporting delays (typically 3–6 months for full coverage). Learn more
← All Procedures

T2012State Medicaid

Habil ed waiver, per diem

Total Paid

$874.0M

$873,982,248

Beneficiaries

177K

177,251

Avg $/Claim

$180

Median: $180

Utilization

27.4 claims/bene

130 providers

Top Providers for This Procedure

Each dot is a provider. X = cost index (vs procedure median). Y = total spending.

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Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1629436241

DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN

TN$135.2M$177vs $180 med0.98x764,69725,895
2
1992980387

ABOUND HEALTH, LLC

NC$55.8M$185vs $180 med1.03x300,97810,881
3
1356408082

ABOUND HEALTH, LLC

NC$44.9M$178vs $180 med0.99x251,8538,725
4
1558410233

LINDLEY HABILITATION SERVICES INC

NC$35.5M$169vs $180 med0.94x209,7227,460
5
1336361427

UNIVERSAL MENTAL HEALTH SERVICES, INC.

NC$26.4M$193vs $180 med1.07x136,8715,223
6
1447300058

A CARING HEART CASE MANAGEMENT, INC.

NC$25.2M$188vs $180 med1.05x133,8605,036
7
1720145378

ACUMEN FISCAL AGENT LLC

AZ$23.1M$187vs $180 med1.04x123,5114,402
8
1720187420

INREACH

NC$21.8M$173vs $180 med0.96x126,1125,982
9
1851539126

PRIMARY HEALTH CHOICE, INC.

NC$21.0M$175vs $180 med0.97x119,9934,444
10
1982921227

COVENANT CASE MANAGEMENT SERVICES, LLC

NC$19.8M$208vs $180 med1.15x95,1553,104
11
1922125244

SKILL CREATIONS, INC.

NC$17.7M$167vs $180 med0.93x105,9373,149
12
1356709976

DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, STATE OF TN

TN$15.8M$236vs $180 med1.31x66,9302,255
13
1669541538

PINNACLE HOME CARE, INC.

NC$15.6M$214vs $180 med1.19x73,0982,663
14
1063798031

ABOUND HEALTH, LLC

NC$15.1M$180vs $180 med1.00x83,6922,611
15
1821100942

LIFE ALLIANCE, LLC

NC$14.6M$211vs $180 med1.17x69,1472,426
16
1396811618

THE ARC OF NORTH CAROLINA

NC$14.1M$166vs $180 med0.92x84,8833,448
17
1922298942

HUGHES BEHAVIORAL AND MENTAL HEALTH SERVICES INC.

NC$12.7M$203vs $180 med1.12x62,8382,591
18
1881751865

AUTISM SOCIETY OF NORTH CAROLINA, INC.

NC$11.2M$151vs $180 med0.84x74,0782,928
19
1477939916

WHAT MATTERS MOST

NC$10.5M$180vs $180 med1.00x58,2842,568
20
1619245552

BAYADA HOME HEALTH CARE, INC.

NC$10.5M$186vs $180 med1.03x56,4082,131
21
1255923975

RHA HEALTH SERVICES NC LLC

NC$10.1M$176vs $180 med0.98x57,2961,984
22
1447282389

UNITED SUPPORT SERVICES INC.

NC$10.0M$187vs $180 med1.04x53,6991,563
23
1750313169

MAXIM HEALTHCARE SERVICES, INC.

NC$9.9M$174vs $180 med0.97x56,9242,174
24
1396763843

THERAPEUTIC ALTERNATIVES INC

NC$9.7M$159vs $180 med0.88x61,3941,973
25
1720014855

BAYADA HOME HEALTH CARE, INC.

NC$9.4M$175vs $180 med0.97x53,8682,326

50 rows · Page 1 of 2

State Breakdown

Each dot is a state. X = average cost per claim. Y = total spending.

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State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1NC$676.6M$1793,772,057140,000111
2TN$160.1M$184872,26529,53612
3AZ$23.1M$187123,5114,4021
4MI$7.0M$16741,8501,4091
5NV$1.3M$2874,4952821
6WI$141K$6762081941
7CA$21K$673112852