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    OpenPayerNPI Medicare & MedicaidVoca Corp Of North Carolina
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    Voca Corp Of North Carolina — Billing Profile & Reimbursement Data

    NPI 1184839151 · Raleigh, NC · Community/Behavioral Health Agency

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    Voca Corp Of North Carolina is a community/behavioral health agency provider located in Raleigh, North Carolina. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationVoca Corp Of North Carolina
    Address1001 Navaho Dr Ste 101
    CityRaleigh
    StateNC
    ZIP27609
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedMay 13, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$62.8M
    Medicare$0

    Key Findings

    VOCA CORP OF NORTH CAROLINA is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $62.8M in lifetime Medicaid revenue. This makes Medicaid the exclusive recorded public payer in the dataset and frames all utilization and competitive observations around state Medicaid activity rather than a dual-payer business model.

    Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes (H2016, T2020, T2014) account for 62.1% of the provider’s total Medicaid revenue. The individual contributions to that concentration are H2016 ($16.5M, 26.3%), T2020 ($12.9M, 20.6%), and T2014 ($9.6M, 15.3%), indicating that these per‑diem and habilitation waiver services are the primary revenue drivers.

    The code mix points to a community- and habilitation-focused operation: H2016 (Comprehensive community support services, per diem) plus T2020 (Day habilitation, waiver; per diem) and T2014 (Habilitation, prevocational, waiver; per diem) together imply the organization runs high-volume day programs and community support/ habilitation services rather than episodic outpatient or acute medical care. The prevalence of per-diem waiver codes suggests the business is organized around ongoing programmatic care and day/residential habilitation workflows.

    Competitive standing for the top revenue codes is above typical statewide volume but not universally dominant. H2016 ranks #10 of 65 providers (86th percentile; typical, unremarkable volume for this code), T2020 ranks #9 of 48 providers (83th percentile; typical, unremarkable volume for this code), and T2014 ranks #3 of 17 providers (88th percentile; typical, unremarkable volume for this code), which together indicate a solid, above‑median presence for these high-revenue services within North Carolina.

    T2016 (Habilitation, residential, waiver; per diem) is a clear statistical outlier in the provider’s mix: it generates $8.3M (13.2% of total Medicaid revenue) and ranks #2 of 92 providers (99th percentile; extreme outlier, far above typical state volume for this code). This strongly signals that VOCA has a disproportionate market position in residential habilitation relative to most in‑state peers and is a major player for that specific service line.

    High service volumes underlie the revenue totals: H2016 shows 75.1K claims at $220 avg paid/claim, T2020 shows 65.6K claims at $197 avg paid/claim, and T2014 shows 58.6K claims at $164 avg paid/claim. Those claim counts and per-diem payment levels point to operational scale in recurring daily habilitation and community support services rather than low-frequency, high-intensity procedures.

    Beyond the top trio, the provider bills a range of complementary services that diversify its Medicaid footprint: H2015 ($5.1M, 8.1%) ranks #23 of 251 providers (91th percentile), T1017 targeted case management ($3.9M, 6.2%) ranks #25 of 216 providers (89th percentile), and S5145 foster care therapeutic child ($2.6M, 4.2%) ranks #50 of 63 providers (21th percentile). This mix shows a core focus on habilitation/day programs supplemented by case management and some foster-care/ respite activity, indicating multiple revenue streams within the community behavioral health space.

    The provider’s NPI has been enumerated since 2007-05-13 (~19 years ago), which, combined with $62.8M in Medicaid receipts and consistently high claim volumes for per-diem habilitation codes, suggests an established, long-standing operational presence in North Carolina’s community/behavioral health market.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2016Comprehensive community support services, per diem75,080$220$16.5M
    T2020Day habilitation, waiver; per diem65,630$200$12.9M
    T2014Habilitation, prevocational, waiver; per diem58,580$160$9.6M
    T2016Habilitation, residential, waiver; per diem40,710$200$8.3M
    H2015Comprehensive community support services, per 15 minutes47,020$110$5.1M
    T1017Targeted case management, each 15 minutes14,730$260$3.9M
    T2013Habilitation, educational, waiver; per hour16,590$170$2.7M
    S5145Foster care, therapeutic, child; per diem4,950$530$2.6M
    T1019Personal 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…16,480$70$1.1M
    S5150Unskilled respite care, not hospice; per 15 minutes240$60$14.8K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Carolina median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2013Habilitation, educational, waiver; per hour12119029,090$150$9.1M
    H2016Comprehensive community support services, per diem107028,040$220$8.2M
    S5145Foster care, therapeutic, child; per diem506027,280$160$7.2M
    T2020Day habilitation, waiver; per diem95022,570$180$6.2M
    T2014Habilitation, prevocational, waiver; per diem32016,540$150$4.2M
    H2015Comprehensive community support services, per 15 minutes2325010,060$130$2.4M
    T1019Personal 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…16802,380$160$1.8M
    T2016Habilitation, residential, waiver; per diem2905,520$190$1.6M
    T1017Targeted case management, each 15 minutes252201,700$150$1.3M
    S5150Unskilled respite care, not hospice; per 15 minutes1511704,310$80$958.4K

    Nearby Providers

    Other providers in the same ZIP code as Voca Corp Of North Carolina, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Arc Of North CarolinaNCCommunity/Behavioral Health Agency$0$77.5M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$58.3M
    Fastmed Urgent Care PCNCUrgent Care Clinic/Center$0$40.4M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$29.3M
    Carter Clinic, P ANCPsychiatry Physician$0$19.4M
    Professional Healthcare, LLCNCNursing Care Agency$0$17.6M
    Healing Interventions, IncNCCommunity/Behavioral Health Agency$0$15.3M
    Kids First Pediatrics Of Raleigh, PLLCNCPediatrics Physician$0$12M
    Raleigh Best Medical Supply And Home Health Care Services, LLCNCHome Health Agency$0$11.9M
    Resources For Seniors, IncNCCase Manager/Care Coordinator$0$11.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Voca Corp Of North Carolina — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina