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.

Carolina Outreach, LLC (NPI 1134684392)

Field	Value
Entity Type	Organization
Organization	Carolina Outreach, LLC
Address	324 Person St
City	Fayetteville
State	NC
ZIP	28301
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 1, 2019

Payer Source	Total Paid
Medicaid	$18M
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
H0040	Assertive community treatment program, per diem	41,690	$210	$8.8M
H2022	Community-based wrap-around services, per diem	11,780	$340	$4M
H2015	Comprehensive community support services, per 15 minutes	21,710	$180	$3.8M
T1017	Targeted case management, each 15 minutes	2,580	$270	$700.4K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1,910	$140	$263.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,750	$80	$228K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,100	$80	$165.7K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	300	$80	$23.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$120	$3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	40	$50	$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

Carolina Outreach, 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
H0040	Assertive community treatment program, per diem	19	120	15,180	$230	$5M
H2022	Community-based wrap-around services, per diem	65	220	3,330	$290	$3.3M
H2015	Comprehensive community support services, per 15 minutes	70	250	10,060	$130	$2.4M
T1017	Targeted case management, each 15 minutes	80	220	1,700	$150	$1.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	41	110	1,070	$130	$628.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	457	1,710	810	$80	$274.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,572	4,400	960	$60	$271.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	170	380	250	$80	$66.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	470	570	240	$20	$49K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	654	870	70	$90	$28.9K

Nearby Providers

Other providers in the same ZIP code as Carolina Outreach, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Precious Haven Inc.	NC	Psychiatric Residential Treatment Facility	$0	$19.9M
Metrocorp Affiliates, Ltd	NC	Home Health Agency	$0	$14.3M
Cumberland County Health Dept	NC	Public Health or Welfare Agency	$0	$11.2M
Kaleo Support, Inc.	NC	Community/Behavioral Health Agency	$0	$10.6M
Metrocorp Affiliates, Ltd.	NC	Home Health Agency	$0	$8.7M
Metro Treatment Of North Carolina L P	NC	Methadone Clinic	$131.1K	$5.1M
Blake Joeckel	NC	Physician Assistant	$142.2K	$0
Sasan Araghi	NC	Family Medicine Physician	$111.9K	$0

Carolina Outreach, LLC — Billing Profile & Reimbursement Data

Sign up for Carolina Outreach, LLC — Billing Profile & Reimbursement Data policy alerts

Carolina Outreach, LLC — Billing Profile & Reimbursement Data

Sign up for Carolina Outreach, 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