Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NC › Chapel Hill › NPI 1467523027
Agency

The ARC of the Triangle, INC.

The ARC of the Triangle, INC. was paid $16.33M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is T2013, Habilitation, educational, waiver; per hour — 37% of everything it billed.

33Billing provider infoTHE ARC OF THE TRIANGLE, INC.
CHAPEL HILL, NC 27517
33aNPI1467523027assigned 11/13/2006
28Total paid$16.33M
24GClaims140,223
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in North Carolina

Rank by total paid#20 of 125
Median peer was paid$2.75M
This provider vs. median5.9×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201823,899$2.33M
201922,064$2.28M
202011,807$1.34M
202112,700$1.53M
202216,605$1.99M
202330,338$3.76M
2024incomplete22,810$3.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2013 Habilitation, educational, waiver; per hour 37% 55,378 4,343 $6.01M
T2012 Habilitation, educational; waiver, per diem 22% 24,313 917 $3.53M
H2025 Ongoing support to maintain employment, per 15 minutes 13% 17,122 1,638 $2.08M
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 12% 17,560 1,709 $1.92M
H2023 Supported employment, per 15 minutes 5.3% 5,266 606 $860K
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes 3.9% 8,825 1,791 $638K
T2041 Supports brokerage, self-directed, waiver; per 15 minutes 3.7% 4,126 3,773 $597K
H0045 Respite care services, not in the home, per diem 1.9% 4,920 852 $316K
H2026 Ongoing support to maintain employment, per diem 1.5% 1,531 206 $251K
S5125 Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes <1% 624 135 $64K
99509 Home visit for assistance with activities of daily living and personal care <1% 536 131 $57K
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) <1% 22 16 $2K

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 officialPFALTZGRAFF, JENNIFER (INTERIM EXECUTIVE DIRECTOR)