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.

A Bridge To Achievement Nc, LLC (NPI 1093233264)

Field	Value
Entity Type	Organization
Organization	A Bridge To Achievement Nc, LLC
Address	1420 Plaza Dr
City	Winston Salem
State	NC
ZIP	27103
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 7, 2017

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	40,290	$290	$11.7M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	18,320	$170	$3M
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	2,820	$210	$602.6K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1,600	$60	$100.9K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	560	$170	$93.6K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	2,570	$30	$69.3K
0369T	Duodenal mucosal resurfacing, endoscopic	50	$110	$5.9K
0361T	Multi-slice computer tomography, heart, with contrast material, including 3D image postprocessing; during cardiac catheterization	30	$150	$5.1K
0368T	Behavior treatment modified additional	90	$50	$4.3K
0360T	Insertion of drug-eluting implant (including punctal dilation and implant removal when performed) into lacrimal canaliculus, each	30	$40	$1.2K

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.

Claims Volume vs. North Carolina Distribution

A Bridge To Achievement Nc, LLC — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	11	90	5,820	$310	$6.4M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	9	80	2,260	$190	$1.4M
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	22	40	580	$210	$309.6K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	3	30	110	$260	$173K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	3	10	2,510	$60	$164.1K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	25	70	1,020	$70	$152.1K
0369T	Duodenal mucosal resurfacing, endoscopic	10	10	550	$170	$142.8K
0368T	Behavior treatment modified additional	10	10	630	$50	$46.9K
0361T	Multi-slice computer tomography, heart, with contrast material, including 3D image postprocessing; during cardiac catheterization	3	10	30	$110	$9.6K
0360T	Insertion of drug-eluting implant (including punctal dilation and implant removal when performed) into lacrimal canaliculus, each	5	10	110	$40	$6.2K

Nearby Providers

Other providers in the same ZIP code as A Bridge To Achievement Nc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forsyth Memorial Hospital, Inc.	NC	General Acute Care Hospital	$0	$40.9M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$39.5M
Bayada Home Health Care, Inc.	NC	Developmental Disabilities Clinic/Center	$0	$35.4M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$34.4M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$22.1M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$21M
Nevaeh & Company LLC	NC	Customized Equipment (DME)	$0	$12.1M
Speechcenter LLC, D/b/a Sidekick Therapy Partners	NC	Speech-Language Pathologist	$0	$10.8M
Champion Family Healthcare Services, LLC	NC	Home Health Agency	$0	$9.9M
Winston-salem Forysth County Schools	NC	Local Education Agency (LEA)	$0	$9.1M

A Bridge To Achievement Nc, LLC — Billing Profile & Reimbursement Data

Sign up for A Bridge To Achievement Nc, LLC — Billing Profile & Reimbursement Data policy alerts

A Bridge To Achievement Nc, LLC — Billing Profile & Reimbursement Data

Sign up for A Bridge To Achievement Nc, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References