North Carolina
#8 in Medicaid spending (3.18% of national total)
Total Spending
$34.82B
Total Claims
822.0M
Providers
16,856
Avg Cost/Claim
$42
Data Coverage Note: North Carolina has 84% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 16% of enrollees). Actual total Medicaid spending in North Carolina is significantly higher than shown.
Enrollment (Latest)
3.1M
Managed Care
84%
ACA Expansion
Yes (2023)
FFS $/Enrollee
$2,109
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
LABORATORY CORPORATION OF AMERICA HOLDINGS Clinical Medical Laboratory | $1.44B |
AEROFLOW INC Community/Behavioral Health | $571.7M |
ABOUND HEALTH, LLC In Home Supportive Care | $324.3M |
LABORATORY CORPORATION OF AMERICA HOLDINGS Clinical Medical Laboratory | $281.4M |
LABORATORY CORPORATION OF AMERICA HOLDINGS Clinical Medical Laboratory | $264.3M |
ABOUND HEALTH, LLC Day Training, Developmentally Disabled Services | $201.2M |
LINDLEY HABILITATION SERVICES INC Day Training, Developmentally Disabled Services | $188.0M |
WAKE FOREST UNIVERSITY HEALTH SCIENCES Clinic/Center | $188.0M |
CAROLINAS MEDICAL CENTER General Acute Care Hospital | $177.7M |
UNIVERSAL MENTAL HEALTH SERVICES, INC. Case Management | $158.1M |
WAKEMED Medicare Defined Swing Bed Unit | $140.7M |
NORTH CAROLINA BAPTIST HOSPITAL General Acute Care Hospital | $138.2M |
ACUMEN OF NORTH CAROLINA, LLC Case Management | $134.3M |
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION General Acute Care Hospital | $133.1M |
COMPREHAB LLC Speech-Language Pathologist | $129.8M |
A CARING HEART CASE MANAGEMENT, INC. Case Management | $127.6M |
RHA HEALTH SERVICES NC, LLC Community/Behavioral Health | $117.3M |
LABORATORY CORPORATION OF AMERICA HOLDINGS Clinical Medical Laboratory | $115.7M |
ACI SUPPORT SPECIALISTS, LLC Case Management | $109.4M |
DEVELOPMENTAL DISABILITIES RESOURCES, INC. Behavior Analyst | $105.4M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| 99509 | Home visit day life activity | $3.35B |
| T2013 | Habil ed waiver per hour | $1.74B |
| 99214 | Office o/p est mod 30 min | $1.20B |
| S5125 | Attendant care service /15m | $1.19B |
| T1000 | Private duty/independent nsg | $1.15B |
| 99199 | Unlisted special svc px/rprt | $942.5M |
| T2021 | Day habil waiver per 15 min | $934.8M |
| 99213 | Office o/p est low 20 min | $909.4M |
| 99284 | Emergency dept visit mod mdm | $868.4M |
| H2022 | Com wrap-around sv, per diem | $716.7M |
| T2012 | Habil ed waiver, per diem | $676.6M |
| 99283 | Emergency dept visit low mdm | $651.6M |
| 92507 | Tx sp lang voice comm indiv | $628.0M |
| H2015 | Comp comm supp svc, 15 min | $596.9M |
| H0040 | Assert comm tx pgm per diem | $594.9M |
| 97153 | Adaptive behavior tx by tech | $559.1M |
| H2016 | Comp comm supp svc, per diem | $543.0M |
| T1015 | Clinic service | $513.0M |
| 90837 | Psytx w pt 60 minutes | $469.1M |
| S5145 | Child fostercare th per diem | $453.6M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Community/Behavioral Health | $4.08B | 856 |
| Clinical Medical Laboratory | $2.61B | 128 |
| Clinic/Center | $2.16B | 1,436 |
| Home Health | $2.07B | 509 |
| General Acute Care Hospital | $1.98B | 121 |
| Dentist | $1.92B | 1,589 |
| In Home Supportive Care | $1.90B | 413 |
| Counselor | $1.69B | 884 |
| Pediatrics | $1.62B | 540 |
| Case Management | $1.57B | 195 |
| Day Training, Developmentally Disabled Services | $1.36B | 125 |
| Durable Medical Equipment & Medical Supplies | $1.07B | 962 |
| Assisted Living Facility | $902.6M | 296 |
| Nursing Care | $627.9M | 70 |
| Family Medicine | $619.1M | 1,024 |
| Internal Medicine | $605.5M | 1,186 |
| Speech-Language Pathologist | $521.7M | 371 |
| Ambulance | $472.5M | 215 |
| Emergency Medicine | $406.8M | 210 |
| Psychologist | $363.5M | 179 |