Agency
TLC Operations, INC.
TLC Operations, INC. was paid $4.03M by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is T2025, waiver services not otherwise specified — 38% of everything it billed.
33Billing provider infoTLC OPERATIONS, INC.
RALEIGH, NC 27606
RALEIGH, NC 27606
33aNPI1457407033assigned 01/26/2007
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$4.03M
24GClaims25,279
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in North Carolina
Rank by total paid#54 of 125
Median peer was paid$2.75M
This provider vs. median1.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,434 | $167K | |
| 2019 | 1,675 | $214K | |
| 2020 | 1,927 | $235K | |
| 2021 | 1,925 | $231K | |
| 2022 | 1,918 | $224K | |
| 2023 | 6,114 | $1.03M | |
| 2024incomplete | 10,286 | $1.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 38% | 13,093 | 4,887 | $1.55M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 35% | 5,252 | 3,165 | $1.39M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 26% | 6,619 | 289 | $1.05M |
| H0045 | Respite care services, not in the home, per diem | <1% | 315 | 122 | $38K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLEMIEUX, HOLLY (CEO)