Agency
Autism Society of North Carolina, INC.
Autism Society of North Carolina, INC. was paid $95.75M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is T2013, Habilitation, educational, waiver; per hour — 39% of everything it billed.
33Billing provider infoAUTISM SOCIETY OF NORTH CAROLINA, INC.
RALEIGH, NC 27607
RALEIGH, NC 27607
33aNPI1881751865assigned 01/02/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$95.75M
24GClaims826,004
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in North Carolina
Rank by total paid#3 of 856
Median peer was paid$908K
This provider vs. median106×
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 | 121,304 | $12.70M | |
| 2019 | 122,410 | $13.22M | |
| 2020 | 100,844 | $11.46M | |
| 2021 | 103,998 | $12.23M | |
| 2022 | 128,320 | $12.96M | |
| 2023 | 132,542 | $17.08M | |
| 2024incomplete | 116,586 | $16.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2013 | Habilitation, educational, waiver; per hour | 39% | 310,412 | 15,789 | $37.82M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 16% | 123,928 | 6,343 | $15.76M |
| T2012 | Habilitation, educational; waiver, per diem | 12% | 74,078 | 2,928 | $11.22M |
| H0045 | Respite care services, not in the home, per diem | 8.5% | 105,576 | 9,912 | $8.11M |
| H2025 | Ongoing support to maintain employment, per 15 minutes | 5.4% | 49,993 | 3,963 | $5.15M |
| 97153 | Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes | 4.8% | 25,944 | 1,927 | $4.59M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 3.9% | 59,627 | 4,398 | $3.78M |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 2.9% | 16,861 | 6,104 | $2.77M |
| S5150 | Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes | 1.7% | 23,672 | 4,457 | $1.63M |
| 97155 | Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes | 1.5% | 7,073 | 1,909 | $1.46M |
| 97152 | <1% | 2,884 | 1,266 | $754K | |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 3,022 | 1,503 | $649K |
14 more codes
| 0365T | <1% | 4,488 | $645K | |
| H2026 | Ongoing support to maintain employment, per diem | <1% | 4,869 | $325K |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes | <1% | 1,592 | $321K |
| 97156 | <1% | 2,335 | $182K | |
| 0364T | <1% | 4,574 | $124K | |
| 0369T | <1% | 621 | $122K | |
| 97151 | <1% | 930 | $122K | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 2,014 | $81K |
| T2016 | A day of residential support for a person with a developmental disability | <1% | 452 | $53K |
| T2013TF | <1% | 272 | $39K | |
| 0368T | <1% | 690 | $37K | |
| S5135 | Companion care, adult (e.g., iadl/adl); per 15 minutes | <1% | 71 | $5K |
| T2025HO | <1% | 14 | $2K | |
| 99509 | Home visit for assistance with activities of daily living and personal care | <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 officialWENDLER, PAUL (CFO)