Acumen Fiscal Agent LLC

Acumen Fiscal Agent LLC was paid $1.06B by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 64% of everything it billed.

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	403,185	$44.71M
2019	544,361	$64.02M
2020	1,266,698	$115.87M
2021	2,096,624	$166.46M
2022	2,183,543	$196.63M
2023	2,064,731	$234.16M
2024incomplete	1,985,032	$239.32M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	64%	6,851,514	282,879	$676.03M
T2025	Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos)	5.9%	317,109	51,336	$62.97M
T2013	Habilitation, educational, waiver; per hour	4.5%	286,459	9,352	$47.61M
T2016	A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem	4.2%	361,156	12,431	$44.22M
S5150	Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes	2.2%	246,622	20,589	$23.57M
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)	2.2%	330,438	17,444	$23.55M
T2012	Habilitation, educational; waiver, per diem	2.2%	123,511	4,402	$23.08M
T2028	Specialized supply, not otherwise specified, waiver	2.2%	145,682	7,062	$22.82M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2.0%	136,179	6,437	$21.69M
H2021	Community-based wrap-around services, per 15 minutes	1.8%	186,632	13,352	$18.76M
T2040	Financial management, self-directed, waiver; per 15 minutes	1.4%	671,315	124,057	$14.83M
H2015	Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes	1.2%	153,356	8,824	$12.72M

35 more codes

T1005	Respite care services, up to 15 minutes	1.2%	167,449	$12.25M
99509	Home visit for assistance with activities of daily living and personal care	<1%	63,233	$8.53M
T2017	Habilitation, residential, waiver; 15 minutes	<1%	94,844	$7.66M
M0355		<1%	41,244	$7.18M
T2021	Day program for adults with developmental disabilities, per 15 minutes	<1%	51,684	$6.60M
S9125	Respite care, in the home, per diem	<1%	64,355	$4.00M
H2025	Ongoing support to maintain employment, per 15 minutes	<1%	26,564	$3.46M
M0361		<1%	22,558	$3.37M
G0749		<1%	11,371	$3.35M
W7319		<1%	70,542	$3.05M
W0560		<1%	25,132	$2.92M
M0111		<1%	4,670	$901K
M0373		<1%	15,469	$872K
M0241	Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency, subsequent repeat doses	<1%	6,787	$822K
G0226		<1%	3,903	$804K
M0209		<1%	3,501	$674K
S5130	Homemaker services, billed per 15 minutes	<1%	5,222	$448K
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	<1%	1,567	$405K
S0215	Non-emergency transportation; mileage, per mile	<1%	25,037	$404K
T1020	Help at home with daily living, billed per day	<1%	4,113	$372K
G0227		<1%	2,735	$307K
M0145		<1%	2,271	$282K
M0420		<1%	4,647	$270K
T2013TF		<1%	719	$111K
W0570		<1%	1,199	$99K
W0550		<1%	246	$85K
M0539		<1%	7,790	$46K
G6063		<1%	677	$25K
M0541		<1%	2,991	$14K
M0359		<1%	61	$9K
G0228		<1%	12	$3K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	<1%	30	$2K
T1016	Case management, each 15 minutes	<1%	1,279	$78.16
ESUP		0%	37	$0.00
T2024	Service assessment/plan of care development, waiver	0%	262	$0.00

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 officialAUER, JOSHUA (CEO)