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    OpenPayerNPI Medicare & MedicaidAci Support Specialists, LLC
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    Aci Support Specialists, LLC — Billing Profile & Reimbursement Data

    NPI 1750431623 · Garner, NC · Community/Behavioral Health Agency

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    Aci Support Specialists, LLC is a community/behavioral health agency provider located in Garner, North Carolina. This profile covers 0 Medicare and 9 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
    OrganizationAci Support Specialists, LLC
    Address834 Timber Dr
    CityGarner
    StateNC
    ZIP27529
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJanuary 11, 2007

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

    Payer SourceTotal Paid
    Medicaid$109.5M
    Medicare$0

    Key Findings

    ACI SUPPORT SPECIALISTS, LLC is essentially a Medicaid-focused provider with no Medicare billing on file and total Medicaid revenue of $109.5M. The absence of Medicare activity makes this organization effectively single-payer (Medicaid) in scale and exposure, concentrating operational and reimbursement risk on state Medicaid policies and contracts rather than on Medicare fee schedules or beneficiaries.

    Revenue is heavily concentrated in a very small set of services: the precomputed top 3 Medicaid codes by revenue account for 79.9% of this provider's total Medicaid revenue. The single largest line, T2013, represents $52.5M or 47.9% of the provider’s Medicaid revenue, followed by S5145 at $22.9M (20.9%) and H2016 at $12.2M (11.1%), indicating the business is highly dependent on a few programmatic service lines.

    The code mix and descriptions (T2013: Habilitation, educational, waiver; S5145: Foster care, therapeutic, child; H2016: Comprehensive community support services) indicate ACI operates principally as a community/behavioral health agency providing waiver habilitation, foster-care therapeutic per-diem services, and broader community support. High-volume, recurring per-hour and per-diem services dominate billing, suggesting an operational model built around sustained, daily/weekly service delivery rather than episodic, high-acuity interventions.

    T2013 shows extremely high utilization: 330.2K claims at an average paid/claim of $159, producing $52.5M in revenue. This code ranks #7 of 185 providers in-state (97th percentile) and is described as notably above typical state volume, signaling ACI is a major in-state provider of habilitation/waiver services and likely has sizable capacity or contracted slots for these programs.

    S5145 (foster care, therapeutic, child) is also a major revenue driver with 118.4K claims, $193 avg paid/claim, and $22.9M in revenue; it ranks #6 of 63 providers in-state (92th percentile) and is labeled as typical, unremarkable volume for this code. While not as extreme as T2013, S5145’s contribution (20.9% of Medicaid revenue) shows a significant operational emphasis on foster-care therapeutic per-diem placements.

    H2016 and T2020 together further flesh out the community-support and day habilitation service footprint: H2016 produced $12.2M (11.1% of Medicaid revenue) across 58.7K claims at $207 avg paid/claim and ranks #14 of 65 (80th percentile), while T2020 generated $11.8M (10.8%) across 66.1K claims at $179 avg paid/claim and ranks #8 of 48 (85th percentile). These figures demonstrate a diversified but still concentrated set of daily-support offerings beyond habilitation and foster-care, consistent with a multi-service behavioral health agency.

    Secondary codes (H2015, H2025, S5150 and others) contribute materially smaller slices—H2015 at $5.6M (5.1%), H2025 at $2.4M (2.2%), and S5150 at $1.8M (1.6%)—and show mid-to-high state percentile rankings (for example, H2015 ranks #22 of 251, 92th percentile), indicating the provider maintains a broad but lower-revenue set of community support and employment-support services. This pattern suggests operational breadth that supports the core habilitation and foster-care lines, but none of these secondary codes approach the revenue concentration of the top three.

    The provider’s NPI was enumerated on 2007-01-11 (~19 years ago), indicating a long-standing presence in the state market. Combined with the strong rankings for T2013 and S5145, tenure plus high-volume billing implies established relationships with Medicaid payers and likely scale in program administration and service delivery within North Carolina.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2013Habilitation, educational, waiver; per hour330,250$160$52.5M
    S5145Foster care, therapeutic, child; per diem118,440$190$22.9M
    H2016Comprehensive community support services, per diem58,740$210$12.2M
    T2020Day habilitation, waiver; per diem66,110$180$11.8M
    H2015Comprehensive community support services, per 15 minutes47,040$120$5.6M
    H2025Ongoing support to maintain employment, per 15 minutes18,850$130$2.4M
    S5150Unskilled respite care, not hospice; per 15 minutes23,400$80$1.8M
    H0045Respite care services, not in the home, per diem2,300$90$204.5K
    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…810$250$199.2K

    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

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2013Habilitation, educational, waiver; per hour719029,090$150$9.1M
    H2016Comprehensive community support services, per diem147028,040$220$8.2M
    S5145Foster care, therapeutic, child; per diem66027,280$160$7.2M
    T2020Day habilitation, waiver; per diem85022,570$180$6.2M
    H2015Comprehensive community support services, per 15 minutes2225010,060$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…54802,380$160$1.8M
    H2025Ongoing support to maintain employment, per 15 minutes12606,380$120$1.3M
    H0045Respite care services, not in the home, per diem50804,450$100$993.7K
    S5150Unskilled respite care, not hospice; per 15 minutes291704,310$80$958.4K

    Nearby Providers

    Other providers in the same ZIP code as Aci Support Specialists, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    George AdamsNCInterventional Cardiology Physician$649.9K$0
    William KetchamNCMOHS-Micrographic Surgery Physician$364.7K$0
    Ghulam ShaikhNCInternal Medicine Physician$145.4K$64.4K
    Domingo Rodriguez-cueNCFamily Medicine Physician$105.2K$0
    Travis MurphyNCPodiatrist$80.5K$0
    Shannon HaganNCSpeech-Language Pathologist$66K$0
    Winnie MomanyiNCPsychiatric/Mental Health Nurse Practitioner$58.4K$0
    Kimberly BeckNCFamily Nurse Practitioner$20.8K$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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Aci Support Specialists, LLC — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina