ARC of the Capital Area

ARC of the Capital Area was paid $6.38M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T2022, Case management, per month — 100% of everything it billed.

33Billing provider infoARC OF THE CAPITAL AREA
AUSTIN, TX 78705

33aNPI1659490134assigned 03/28/2007

33bProvider typeCase Management Agency

28Total paid$6.38M

24GClaims35,503

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Case Management Agency providers in Texas

Rank by total paid#55 of 219

Median peer was paid$1.45M

This provider vs. median4.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2022 with only 2 total codes billed. Highly concentrated billing profile.

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	5,426	$968K
2019	5,226	$940K
2020	5,037	$906K
2021	5,103	$919K
2022	5,329	$959K
2023	4,782	$860K
2024incomplete	4,600	$827K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2022	Case management, per month	100%	35,488	35,451	$6.37M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	15	15	$4K

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 officialEASON, SUSAN (EXECUTIVE DIRECTOR)