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.

Acumen Of North Carolina, LLC (NPI 1578971214)

Field	Value
Entity Type	Organization
Organization	Acumen Of North Carolina, LLC
Address	301 Mccullough Dr Ste 400
City	Charlotte
State	NC
ZIP	28262
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	July 25, 2014

Payer Source	Total Paid
Medicaid	$134.4M
Medicare	$0

Key Findings

ACUMEN OF NORTH CAROLINA, LLC is effectively a single-payer provider: it has no Medicare billing on file and reports $134.4M in lifetime Medicaid revenue. This concentration on Medicaid suggests its operations and revenue base are almost entirely dependent on state-managed programs rather than fee-for-service Medicare populations.

Revenue is highly concentrated in a small set of service codes: the top three Medicaid codes (S5135, T1019, T2027) account for 87.1% of the provider's total Medicaid revenue. Those three codes are S5135 ($75.5M, 867.4K claims, $87 avg paid/claim; 56.1%), T1019 ($23.2M, 196.4K claims, $118 avg paid/claim; 17.2%), and T2027 ($18.4M, 207.3K claims, $89 avg paid/claim; 13.7%).

The code mix indicates a business built around non-skilled, in-home supportive services and waiver programs: S5135 is companion care billed per 15 minutes, T1019 is personal care services per 15 minutes, and T2027 is specialized childcare under waiver per 15 minutes. This pattern is consistent with an in-home supportive care agency model that bills many short-duration units rather than episodic skilled clinical visits.

ACUMEN is a dominant statewide player for its top Medicaid codes. It ranks #1 in-state for S5135 (1 of 11, 100th percentile; labeled an extreme outlier), T1019 (1 of 84, 100th percentile; extreme outlier), and T2027 (1 of 9, 100th percentile; notably above typical), which together indicate far higher volume for these services than typical peers in North Carolina.

Beyond the top three, the provider also posts substantial volume on additional support codes—S5150 (unskilled respite care) shows 112.9K claims and $8.1M revenue and ranks #2 of 168 providers in-state (99th percentile, extreme outlier). Lower-tier but material lines include T2040 (financial management, 55.6K claims, $4.6M, ranks #1 of 3 – described as typical) and T1004 (qualified nursing aide services, 49K claims, $4.6M, ranks #1 of 11 – notably above typical), indicating some breadth across waiver-support and attendant services.

The provider’s reimbursement profile reflects a low-rate, high-volume operating model: S5135 alone is $75.5M on 867.4K claims at $87 avg paid/claim, while T1019 and T2027 also show large claim volumes with relatively modest average payments per claim. This suggests significant operational emphasis on staffing, scheduling, and billing for short-interval personal and companion care units rather than high-dollar episodic procedures.

The heavy dependence on a few per-15-minute personal and companion care codes creates concentration risk: with the top three codes representing 87.1% of Medicaid revenue and S5135 alone at 56.1% of revenue, rate changes, policy adjustments to waiver services, or shifts in authorizations for these codes could materially affect overall revenue. Analysts should treat this provider as high exposure to Medicaid policy and waiver program dynamics.

ACUMEN’s NPI was enumerated on 2014-07-25 (~12 years ago), indicating it has had over a decade to scale operations within North Carolina’s waiver and personal care markets to reach the $134.4M Medicaid footprint reported. That tenure combined with top percentile rankings suggests entrenched market positioning in the state for the service lines it bills most heavily.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	867,410	$90	$75.5M
T1019	Personal 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…	196,380	$120	$23.2M
T2027	Specialized childcare, waiver; per 15 minutes	207,290	$90	$18.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	112,850	$70	$8.1M
T2040	Financial management, self-directed, waiver; per 15 minutes	55,560	$80	$4.6M
T1004	Services of a qualified nursing aide, up to 15 minutes	49,020	$90	$4.6M

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

Acumen Of North Carolina, LLC — 6 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1	10	130	$90	$6.9M
T2027	Specialized childcare, waiver; per 15 minutes	1	10	4,050	$90	$2.5M
T1019	Personal 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…	1	80	2,380	$160	$1.8M
T2040	Financial management, self-directed, waiver; per 15 minutes	1	10	380	$80	$1.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	2	170	4,310	$80	$958.4K
T1004	Services of a qualified nursing aide, up to 15 minutes	1	10	2,620	$100	$608.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Well Of Charlotte Inc	NC	In Home Supportive Care Agency	$0	$74.4M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$42.8M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$40.8M
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$38.2M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$37.5M
Valleygate Dental Surgery Center Of Charlotte LLC	NC	Ambulatory Surgical Clinic/Center	$0	$26.3M
Infinium Health Services LLC	NC	Nursing Care Agency	$0	$18.3M
Continuum Care Services, Inc.	NC	Community/Behavioral Health Agency	$0	$16.1M
Novant Health Medical Group, LLC	NC	Internal Medicine Physician	$0	$15.3M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Case Management Agency	$0	$15.1M

Acumen Of North Carolina, LLC — Billing Profile & Reimbursement Data

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Acumen Of North Carolina, 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