Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $134.3M is at the 50th percentile among 137 Case Management providers.
Total Paid
$134.3M
$134,277,839
Total Claims
1.5M
Beneficiaries
114K
13.0 claims/patient
Avg Cost/Claim
$90
#846 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Acumen of North Carolina, LLC is a Case Management provider based in Charlotte, NC. From the 2018–2024 period, this provider received $134.3M in Medicaid payments across 1.5M claims.
Important Context
- ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.
Why This Matters
This provider received $134.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,784 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 6 distinct procedure codes. The top code (S5135 (Companion care, adult, per diem)) accounts for 56% of total spending.
$75.3M
867K claims
$86.80
$52.25
Companion care, adult, per diem
$75.3M
867K claims · 56.1%
$23.2M
196K claims
$118.08
$82.47
Personal care services, per 15 min
$23.2M
196K claims · 17.3%
$18.5M
207K claims
$89.10
$88.93
Specialized transportation, waiver, per trip, extra
$18.5M
207K claims · 13.8%
$8.1M
113K claims
$72.02
$84.46
Unskilled respite care, per 15 min
$8.1M
113K claims · 6.1%
$4.6M
56K claims
$83.01
$108.97
Financial management, self-directed; per month
$4.6M
56K claims · 3.4%
$4.6M
49K claims
$93.66
$50.30
Services of a qualified nursing aide, per 15 minutes
$4.6M
49K claims · 3.4%
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