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    OpenPayerNPI Medicare & MedicaidAging, Disability & Transit Services Of Rockingham…
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    Aging, Disability & Transit Services Of Rockingham County — Billing Profile & Reimbursement Data

    NPI 1043368533 · Reidsville, NC · In Home Supportive Care Agency

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    Aging, Disability & Transit Services Of Rockingham County is a in home supportive care agency provider located in Reidsville, North Carolina. This profile covers 0 Medicare and 10 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
    OrganizationAging, Disability & Transit Services Of Rockingham County
    Address105 Lawsonville Ave
    CityReidsville
    StateNC
    ZIP27320
    TaxonomyIn Home Supportive Care Agency
    NPI EnumeratedJanuary 8, 2007

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

    Payer SourceTotal Paid
    Medicaid$57M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: there is no Medicare billing on file while reported Medicaid revenue totals $57M, indicating its operations and revenues are concentrated entirely within Medicaid programs rather than split across Medicare and Medicaid. The absence of any Medicare activity suggests analyses and contracting discussions should focus on state Medicaid policy and waiver programs.

    Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 91.3% of this provider's total Medicaid revenue. Specifically, S5125 drives $32.4M (57.0% of Medicaid revenue), A0120 drives $11.8M (20.7%), and T1016 drives $7.8M (13.7%), making these three codes the dominant revenue drivers and a potential single‑point exposure to reimbursement or policy changes for those service lines.

    The code mix and volumes indicate a core business built around labor‑intensive in‑home supportive care and transportation logistics. S5125 (attendant care services; per 15 minutes) is the largest line with 268.1K claims and $121 avg paid/claim, while transportation lines such as A0120 (non‑emergency mini‑bus, 96.6K claims, $122 avg paid/claim) and A0130 (wheelchair van, 26.1K claims, $123 avg paid/claim) show a substantial transportation operation supporting the same population. T1016 (case management, 59K claims, $132 avg paid/claim) further signals integrated care coordination capabilities alongside direct care and transport.

    On competitive standing within the state, this provider is a leading participant for its top codes. S5125 ranks #2 of 399 providers in‑state and is described as an "extreme outlier, far above typical state volume for this code," while A0120 ranks #5 of 89 (95th percentile, "notably above typical state volume") and T1016 ranks #3 of 231 (99th percentile, "notably above typical state volume"). Those rank positions indicate the provider is among the largest statewide players for attendant care, non‑emergency mini‑bus transport, and case management.

    The raw claim volumes underscore operational scale and resource intensity: 268.1K claims for S5125, 96.6K claims for A0120, and 59K claims for T1016. These counts, combined with the average paid/claim figures ($121, $122, and $132 respectively), reflect sustained, high‑frequency service delivery that implies substantial workforce, scheduling, and fleet or logistical capacity to support continued volume.

    Smaller service lines are present but represent a minor portion of revenue and mostly typical in‑state volumes. Examples include A0130 (26.1K claims, $3.2M, 5.6% of revenue, 86th percentile), T2041 (6K claims, $1M, 1.8% of revenue, 74th percentile), and S5170 (83K claims, $498.1K, 0.9% of revenue, 93rd percentile); these appear complementary to the core attendant care and transport business rather than major independent revenue drivers.

    This organization has long tenure in the NPI registry (enumerated 2007-01-08, ~19 years ago), suggesting an established operational footprint and experience managing Medicaid populations and state waiver services. That longevity combined with the very high market positions on key codes likely supports durable payer relationships, though it also concentrates exposure to changes in those specific Medicaid program rules or reimbursement rates.

    From a risk/opportunity perspective, the provider's dependence on three codes that together make up 91.3% of Medicaid revenue creates both strength and vulnerability: strength because they are dominant in‑state positions (including an extreme outlier ranking on S5125), and vulnerability because programmatic, audit, or rate shifts focused on attendant care, non‑emergency transportation, or case management could materially affect total revenue. The sizable transportation and case management footprints could also present opportunities for payers to engage the provider in care coordination, value‑based arrangements, or transportation optimization projects given its demonstrated scale.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes268,130$120$32.4M
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems96,630$120$11.8M
    T1016Case management, each 15 minutes59,010$130$7.8M
    A0130Non-emergency transportation: wheelchair van26,090$120$3.2M
    T2041Supports brokerage, self-directed, waiver; per 15 minutes6,040$170$1M
    S5170Home delivered meals, including preparation; per meal83,020$10$498.1K
    S5102Day care services, adult; per diem2,760$40$102.3K
    S5165Home modifications; per service130$550$70.8K
    99509A 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.920$40$32.2K
    T2025Waiver services; not otherwise specified (nos)300$70$19.5K

    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

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes240015,030$100$3M
    99509A 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.1,3391,45023,320$50$2.3M
    T1016Case management, each 15 minutes32303,210$110$1.1M
    S5165Home modifications; per service810130$4,330$999.5K
    T2041Supports brokerage, self-directed, waiver; per 15 minutes331202,780$150$966.8K
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems590710$60$766.4K
    T2025Waiver services; not otherwise specified (nos)63801,420$170$562K
    A0130Non-emergency transportation: wheelchair van5302,130$50$483.1K
    S5170Home delivered meals, including preparation; per meal22036,990$10$332.8K
    S5102Day care services, adult; per diem9106,730$30$308.1K

    Nearby Providers

    Other providers in the same ZIP code as Aging, Disability & Transit Services Of Rockingham County, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Highgrove Longterm Care Center, Inc.NCAssisted Living Facility$0$8.2M
    Rockingham County Finance OfficeNCEmergency Care Clinic/Center$797.3K$3.7M
    John HallNCInternal Medicine Physician$162.4K$6.5K
    Benjamin MckinneyNCFoot & Ankle Surgery Podiatrist$69.1K$0
    Michael DepasqualeNCPhysician Assistant$15K$0
    Randi LockamyNCNurse Practitioner$11.9K$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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Aging, Disability & Transit Services Of Rockingham County — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina