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.

County Of Guilford (NPI 1154456986)

Field	Value
Entity Type	Organization
Organization	County Of Guilford
Address	1203 Maple St
City	Greensboro
State	NC
ZIP	27405
Taxonomy	Case Management Agency
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$8.6M
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
T1016	Case management, each 15 minutes	46,000	$150	$6.9M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	8,310	$180	$1.5M
A4554	Disposable underpads, all sizes	920	$70	$67.5K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	370	$100	$38.1K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	150	$110	$16K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	270	$60	$15.2K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	40	$80	$3.5K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	250	$10	$1.3K
A4927	Gloves, non-sterile, per 100	10	$20	$190
99501	A home health provider, such as a registered nurse, visits a patient and her newborn at home to review plans of care and provide additional resources to the patient.	10	$0	$0

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

County Of Guilford — 1 of 9 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
T1016	Case management, each 15 minutes	6	230	3,210	$110	$1.1M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	26	120	2,780	$150	$966.8K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	46	60	530	$50	$669.2K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	102	130	610	$110	$637.1K
A4554	Disposable underpads, all sizes	120	200	1,300	$40	$493.2K
A4927	Gloves, non-sterile, per 100	153	150	1,490	$30	$389.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	2,485	2,850	10,910	$10	$330.3K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	65	70	610	$130	$243.7K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	67	100	900	$90	$204.5K
99501	A home health provider, such as a registered nurse, visits a patient and her newborn at home to review plans of care and provide additional resources to the patient.	23	20	380	$50	$69K

Nearby Providers

Other providers in the same ZIP code as County Of Guilford, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rha Health Services Nc, LLC	NC	Case Management Agency	$0	$32.6M
Triad Adult And Pediatric Medicine, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$29.2M
Amethyst Consulting & Treatment Solutions, PLLC	NC	Social Worker	$0	$25.5M
Cheshire Speech And Voice Center Inc	NC	Speech-Language Pathologist	$0	$20.5M
United Youth Care Services	NC	Clinical Medical Laboratory	$0	$20.2M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$17.8M
County Of Guilford	NC	State or Local Public Health Clinic/Center	$0	$16.9M
Professional Rehabilitation Consultants	NC	Rehabilitation Psychologist	$0	$16M
Regional Home Care, Inc.	NC	In Home Supportive Care Agency	$0	$14.8M
Ally Home Care Greensboro, LLC	NC	In Home Supportive Care Agency	$0	$11.6M

County Of Guilford — Billing Profile & Reimbursement Data

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County Of Guilford — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References