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

T2013State Medicaid

Habil ed waiver per hour

Total Paid

$1.97B

$1,973,060,556

Beneficiaries

574K

573,523

Avg $/Claim

$161

Median: $161

Utilization

21.3 claims/bene

254 providers

Monthly Spending

Total payments per month (nominal $)

Cost per Claim

Average cost per claim per month (nominal $)

Beneficiaries

Unique beneficiaries per month

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
1992980387

ABOUND HEALTH, LLC

NC$113.9M$147vs $161 med0.91x772,00530,311
2
1558410233

LINDLEY HABILITATION SERVICES INC

NC$68.8M$145vs $161 med0.90x473,66321,385
3
1851539126

PRIMARY HEALTH CHOICE, INC.

NC$65.5M$173vs $161 med1.07x379,49314,249
4
1356408082

ABOUND HEALTH, LLC

NC$64.4M$146vs $161 med0.91x439,95320,000
5
1336361427

UNIVERSAL MENTAL HEALTH SERVICES, INC.

NC$56.4M$158vs $161 med0.98x356,53916,061
6
1710176151

GUARDIANTRAC. LLC

MI$52.6M$160vs $161 med0.99x328,02411,238
7
1750431623

ACI SUPPORT SPECIALISTS, LLC

NC$52.3M$159vs $161 med0.98x330,24914,823
8
1790801819

CNC-ACCESS INC

NC$50.5M$145vs $161 med0.90x349,22113,580
9
1821194531

DEVELOPMENTAL DISABILITIES RESOURCES, INC.

NC$48.6M$147vs $161 med0.91x330,34714,103
10
1720145378

ACUMEN FISCAL AGENT LLC

AZ$47.6M$166vs $161 med1.03x286,4599,352
11
1669541538

PINNACLE HOME CARE, INC.

NC$38.9M$187vs $161 med1.16x207,9368,659
12
1881751865

AUTISM SOCIETY OF NORTH CAROLINA, INC.

NC$37.8M$122vs $161 med0.76x310,41215,789
13
1447300058

A CARING HEART CASE MANAGEMENT, INC.

NC$37.6M$150vs $161 med0.93x250,11511,529
14
1396811618

THE ARC OF NORTH CAROLINA

NC$34.3M$159vs $161 med0.99x215,29710,288
15
1922298942

HUGHES BEHAVIORAL AND MENTAL HEALTH SERVICES INC.

NC$32.3M$152vs $161 med0.94x211,7869,579
16
1922125244

SKILL CREATIONS, INC.

NC$29.4M$146vs $161 med0.90x201,8358,485
17
1487695342

TURNING POINT SERVICES, INC.

NC$28.5M$129vs $161 med0.80x220,83510,855
18
1720014855

BAYADA HOME HEALTH CARE, INC.

NC$24.2M$159vs $161 med0.99x152,5897,053
19
1619245552

BAYADA HOME HEALTH CARE, INC.

NC$23.0M$147vs $161 med0.91x155,8357,229
20
1063798031

ABOUND HEALTH, LLC

NC$22.3M$153vs $161 med0.95x145,3455,439
21
1720187420

INREACH

NC$21.2M$135vs $161 med0.84x157,6968,908
22
1760543094

HOMECARE MANAGEMENT CORPORATION

NC$21.0M$160vs $161 med0.99x130,8355,698
23
1679627525

CARE WELL OF CHARLOTTE INC

NC$20.8M$184vs $161 med1.14x113,1734,613
24
1427003862

AWARE INC

MT$20.6M$4,953vs $161 med30.71x4,1661,765
25
1174783971

BAILEY'S RESPITE CARE

NC$20.1M$180vs $161 med1.12x111,6354,366

50 rows · Page 1 of 2

State Breakdown

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

Drag to zoom into a region

State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1NC$1.74B$15311,353,949498,600186
2MT$87.6M$2,01843,42913,34617
3MI$52.6M$160328,02411,2381
4AZ$47.6M$166286,4599,3521
5MN$10.6M$12286,84316,7277
6VA$10.2M$1,01210,0953,9028
7CO$7.1M$17141,1734,5972
8MA$3.3M$25712,9365,3941
9WI$1.7M$14611,3982,89314
10DE$1.3M$3124,0492951
11ND$393K$1852,1227861
12RI$285K$1861,5381,4322
13DC$249K$1,354184541
14WY$75K$839022161
15AK$0$0103251
16UT$0$062613