Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Abound Health, LLC (NPI 1356408082)

Field	Value
Entity Type	Organization
Organization	Abound Health, LLC
Address	5309 Idlewild Rd N
City	Mint Hill
State	NC
ZIP	28227
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 2, 2007

Payer Source	Total Paid
Medicaid	$200.8M
Medicare	$0

Key Findings

ABOUND HEALTH, LLC appears to be an effectively single-payer Medicaid provider: Total Medicaid revenue on file is $200.8M and there is none (no Medicare billing on file), indicating its Medicare footprint is absent while its operations are concentrated in Medicaid-funded behavioral and waiver services. This payer mix suggests contracting, utilization, and compliance activity should be evaluated primarily through a Medicaid lens rather than Medicare programs.

Revenue concentration is highly focused: the top three Medicaid codes T2013 (32.0%), T2012 (22.3%), and T2021 (13.0%) together account for 67.3% of the provider’s total Medicaid revenue. That level of concentration signals material dependency on a narrow set of habilitation/day habilitation services and implies that changes in reimbursement, eligibility, or program rules for those codes would have outsized effects on overall revenue.

The code mix (T2013, T2012, T2021 plus other waiver and community support codes) indicates ABOUND Health operates large-scale habilitation and waiver programs and provides both day habilitation and per-diem/per-hour habilitation services typical of a Community/Behavioral Health Agency. The presence of H2016 and H2015 (comprehensive community support services, per diem and per 15 minutes) further shows integrated support offerings beyond day programs, aligning with a provider whose core business is support and habilitation for individuals eligible for waiver services.

ABOUND’s competitive standing in North Carolina is dominant for its highest-revenue services: T2013 ranks #3 of 185 providers in-state (99th percentile; extreme outlier), T2012 ranks #2 of 110 (99th percentile; extreme outlier), and T2021 ranks #5 of 199 (98th percentile; extreme outlier). These high ranks and percentiles indicate the provider is a major statewide player for habilitation and day habilitation codes, far above typical state volume for those services.

Beyond the top three, ABOUND also reports sizable revenue from H2016 ($20.1M, 10.0% of total Medicaid revenue) and H2015 ($14.1M, 7.0% of total Medicaid revenue); H2016 ranks #6 of 65 (92th percentile; notably above typical state volume) while H2015 ranks #2 of 251 (100th percentile; extreme outlier). This secondary concentration in comprehensive community support services shows a multi-modal service delivery footprint that spans per-diem and time-based service models and likely supports both day and community-based care pathways.

Operational scale is substantial based on claim volumes reported for top codes: 440K claims for T2013, 251.9K claims for T2012, and 188.6K claims for T2021, which together reflect a very high-volume service delivery model and imply significant staffing, program management, and billing infrastructure. High claim counts at per-hour/per-diem rates also suggest administrative exposure to time-based documentation and authorization controls common in waiver programs.

Because several leading codes are tagged as "extreme outlier" in-state volumes and occupy top percentile ranks, the provider is strategically important within North Carolina’s waiver and habilitation networks; payers and managed-care plans should expect ABOUND to be a major counterparty for those service lines and to have negotiating leverage or operational centrality in local networks. These outlier labels also highlight that any policy, audit, or reimbursement changes targeting these codes would disproportionately affect ABOUND relative to typical in-state providers.

The provider has long tenure in the market with NPI enumerated 2007-01-02 (~19 years ago), reinforcing that this is an established operator rather than a recent entrant. Combined with the high-volume, high-concentration Medicaid profile, the longevity supports a picture of an entrenched Medicaid habilitation and community-support provider in North Carolina rather than a small or transient vendor.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2013	Habilitation, educational, waiver; per hour	439,950	$150	$64.2M
T2012	Habilitation, educational; waiver, per diem	251,850	$180	$44.8M
T2021	Day habilitation, waiver; per 15 minutes	188,560	$140	$26M
H2016	Comprehensive community support services, per diem	106,890	$190	$20.1M
H2015	Comprehensive community support services, per 15 minutes	167,370	$80	$14.1M
T2020	Day habilitation, waiver; per diem	64,720	$170	$11M
S5150	Unskilled respite care, not hospice; per 15 minutes	87,930	$90	$8M
H2025	Ongoing support to maintain employment, per 15 minutes	37,000	$110	$4.1M
H0045	Respite care services, not in the home, per diem	21,290	$110	$2.4M
T2025	Waiver services; not otherwise specified (nos)	8,630	$240	$2M

Showing 1–10 of 18

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.

Claims Volume vs. North Carolina Distribution

Abound Health, LLC — 5 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	3	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	6	70	28,040	$220	$8.2M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	4	10	130	$90	$6.9M
T2020	Day habilitation, waiver; per diem	10	50	22,570	$180	$6.2M
T2012	Habilitation, educational; waiver, per diem	2	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	5	200	25,740	$130	$4.6M
T2014	Habilitation, prevocational, waiver; per diem	10	20	16,540	$150	$4.2M
T2027	Specialized childcare, waiver; per 15 minutes	9	10	4,050	$90	$2.5M
H2015	Comprehensive community support services, per 15 minutes	2	250	10,060	$130	$2.4M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1,448	1,450	23,320	$50	$2.3M

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Abound Health, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abound Health, LLC	NC	Community/Behavioral Health Agency	$0	$324.1M
United Support Services Inc.	NC	Community/Behavioral Health Agency	$0	$61.6M
Abound Health, LLC	NC	Community/Behavioral Health Agency	$0	$49.8M
Ryan's Place, LLC	NC	Community/Behavioral Health Agency	$0	$24.7M
Divine Health Consultants	NC	Home Health Agency	$0	$22.8M
Still Family, LLC	NC	Community/Behavioral Health Agency	$0	$20.3M
Unique Caring Foundation, Inc	NC	Community/Behavioral Health Agency	$0	$11.2M
Securing Resources For Consumers, Inc.	NC	Community/Behavioral Health Agency	$0	$10.6M
Smiles For Life Orthodontics	NC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$8M
Scott Baker	NC	Physical Therapist	$109.9K	$0

Abound Health, LLC — Billing Profile & Reimbursement Data

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Abound Health, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References