Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidEaster Seals Ucp North Carolina & Virginia, Inc.
    Ask Trek AI about this page

    Easter Seals Ucp North Carolina & Virginia, Inc. — Billing Profile & Reimbursement Data

    NPI 1013061746 · New Bern, NC · Community/Behavioral Health Agency

    Customize your policy alerts

    Sign up for Easter Seals Ucp North Carolina & Virginia, Inc. — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Easter Seals Ucp North Carolina & Virginia, Inc. is a community/behavioral health agency provider located in New Bern, North Carolina. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEaster Seals Ucp North Carolina & Virginia, Inc.
    Address2801 Neuse Blvd
    CityNew Bern
    StateNC
    ZIP28562
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJanuary 22, 2007

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

    Payer SourceTotal Paid
    Medicaid$28.2M
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5145Foster care, therapeutic, child; per diem66,950$160$10.4M
    H2022Community-based wrap-around services, per diem14,450$570$8.3M
    T2013Habilitation, educational, waiver; per hour27,190$140$3.7M
    H0045Respite care services, not in the home, per diem31,890$90$2.8M
    T2012Habilitation, educational; waiver, per diem7,910$190$1.5M
    H2023Supported employment, per 15 minutes8,080$70$525.1K
    H2026Ongoing support to maintain employment, per diem10,280$40$442.2K
    T1017Targeted case management, each 15 minutes1,940$120$227.2K
    H0038Self‑help/peer services, per 15 minutes3,050$40$109.9K
    T2025Waiver services; not otherwise specified (nos)480$150$73.4K

    Showing 1–10 of 15

    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

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2013Habilitation, educational, waiver; per hour9819029,090$150$9.1M
    S5145Foster care, therapeutic, child; per diem166027,280$160$7.2M
    T2012Habilitation, educational; waiver, per diem7911021,340$180$6.1M
    H2022Community-based wrap-around services, per diem512203,330$290$3.3M
    H2025Ongoing support to maintain employment, per 15 minutes55606,380$120$1.3M
    H0038Self‑help/peer services, per 15 minutes1503102,820$120$1.3M
    T1017Targeted case management, each 15 minutes932201,700$150$1.3M
    H0045Respite care services, not in the home, per diem7804,450$100$993.7K
    T2041Supports brokerage, self-directed, waiver; per 15 minutes991202,780$150$966.8K
    S5150Unskilled respite care, not hospice; per 15 minutes1381704,310$80$958.4K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Easter Seals Ucp North Carolina & Virginia, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$58.3M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$29.3M
    Easter Seals Ucp North Carolina & Virgiinia, Inc.NCCommunity/Behavioral Health Agency$0$19.2M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCase Management Agency$0$15.1M
    Easter Seals Ucp North Carolina & Virgina, Inc.NCCommunity/Behavioral Health Agency$0$11.2M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$9.9M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$8.3M
    Michael CullerNCPhysician Assistant$157.4K$0
    Christopher EdwardsNCClinical Social Worker$20.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Easter Seals Ucp North Carolina & Virginia, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Childrens ClinicNCPediatrics Physician$0$20.4M
    Home Life Care IncNCIn Home Supportive Care Agency$0$14M
    Robert B. Harrison Dmd Msd PLLCNCMulti-Specialty Clinic/Center$0$7.5M
    Robert B. Miller, Iv, Dds, PLLCNCDentist$0$7.3M
    Christopher FlyeNCDiagnostic Radiology Physician$1.7M$0
    Cchc Endoscopy Center IncNCEndoscopy Clinic/Center$988.7K$57.5K
    Christopher MizelleNCDermatology Physician$924.7K$0
    Nathan SaucierNCNephrology Physician$724.1K$0
    Jay SingletonNCOphthalmology Physician$704.5K$0
    Todd NelsonNCDermatology Physician$494K$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
    Easter Seals Ucp North Carolina & Virginia, Inc. — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina