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    OpenPayerNPI Medicare & MedicaidLiving With Autism Inc
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    Living With Autism Inc — Billing Profile & Reimbursement Data

    NPI 1548532120 · Raleigh, NC · Home Health Agency

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    Living With Autism Inc is a home health agency provider located in Raleigh, North Carolina. This profile covers 0 Medicare and 2 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
    OrganizationLiving With Autism Inc
    Address7401 Denlee Rd
    CityRaleigh
    StateNC
    ZIP27603
    TaxonomyHome Health Agency
    NPI EnumeratedJanuary 30, 2012

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

    Payer SourceTotal Paid
    Medicaid$7.6M
    Medicare$0

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2021Day habilitation, waiver; per 15 minutes36,540$160$5.7M
    T2013Habilitation, educational, waiver; per hour17,530$110$1.9M

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2013Habilitation, educational, waiver; per hour11819029,090$150$9.1M
    T2021Day habilitation, waiver; per 15 minutes7020025,740$130$4.6M

    Nearby Providers

    Other providers in the same ZIP code as Living With Autism Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rafael Rivera, Jr., Dds, PLLCNCDentist$0$19.1M
    Inomancy Home Care IncNCHome Health Agency$0$15.7M
    Amardeep Khara, Dmd, PANCOrthodontics and Dentofacial Orthopedics Dentistry$0$13.8M
    Best Home Healthcare Agency,llcNCHome Health Agency$0$7.4M
    Health & Home Services, Inc.NCNursing Care Agency$0$7.2M
    Sally DelmastroNCAdult Health Nurse Practitioner$203.7K$0
    Rosmy JimmyNCInternal Medicine Physician$91.6K$0
    James ParsonsNCGeriatric Medicine (Internal Medicine) Physician$60.9K$0

    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
    2 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Living With Autism Inc — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina