Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Access Family Services, INC.

Access Family Services, INC. was paid $4.74M by Medicaid between Jan 2018 and Sep 2020, across 16 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 37% of everything it billed.

33Billing provider infoACCESS FAMILY SERVICES, INC.
RALEIGH, NC 27615
33aNPI1629322540assigned 10/30/2012
28Total paid$4.74M
24GClaims31,980
24DCodes billed16
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers

Next to other Community/Behavioral Health Agency providers in North Carolina

Rank by total paid#183 of 856
Median peer was paid$908K
This provider vs. median5.2×

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$100K$200K$300K2018201920202021202220232024
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
201813,845$1.68M
201911,590$1.84M
20206,545$1.21M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2022 Community-based wrap-around services, per diem 37% 4,343 833 $1.76M
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 16% 4,490 536 $746K
0365T 13% 5,440 608 $624K
0369T 8.7% 2,041 558 $414K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 7.5% 1,702 469 $354K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 5.1% 2,945 1,194 $240K
0364T 3.0% 5,656 616 $141K
0368T 2.7% 2,101 559 $130K
0370T 2.6% 1,029 532 $123K
97156 1.6% 1,021 452 $74K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 505 422 $40K
97151 <1% 227 118 $32K
4 more codes
0361T <1% 176 $28K
0360T <1% 239 $15K
97152 <1% 53 $11K
0359T <1% 12 $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 officialNICOLAI, ROB (REGIONAL DIRECTOR)
Same official

Other billing entities under NICOLAI, ROB

Full network →
ProviderLocationPaid
Access Family ServicesWilmington, NC$15.34M
Autism Behavioral Institute, LLCSavannah, GA$15.13M
Access Family ServicesAsheville, NC$9.91M
Access Family Services, INC.Gastonia, NC$3.32M
Access Family ServicesAsheville, NC$6K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.