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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Louise W. Eggleston Center (NPI 1093768921)

Field	Value
Entity Type	Organization
Organization	Louise W. Eggleston Center
Address	6431 Tidewater Dr
City	Norfolk
State	VA
ZIP	23509
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$36.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	9,600	$1,840	$17.6M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	44,890	$370	$16.4M
T2021	Day habilitation, waiver; per 15 minutes	4,430	$340	$1.5M
H2024	Supported employment, per diem	4,610	$240	$1.1M
H2023	Supported employment, per 15 minutes	990	$240	$240.5K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Louise W. Eggleston Center — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	34	140	4,450	$1,150	$15.3M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	5	200	2,840	$320	$2.4M
H2024	Supported employment, per diem	4	10	2,570	$350	$1.5M
T2021	Day habilitation, waiver; per 15 minutes	28	110	1,500	$340	$1.3M
H2023	Supported employment, per 15 minutes	8	20	970	$470	$1.3M

Louise W. Eggleston Center — Billing Profile & Reimbursement Data

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Louise W. Eggleston Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References