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.

Tonya Omar, PLLC (NPI 1174710248)

Field	Value
Entity Type	Organization
Organization	Tonya Omar, PLLC
Address	2634 Durham Chapel Hill Blvd Ste 4
City	Durham
State	NC
ZIP	27707
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 2, 2007

Payer Source	Total Paid
Medicaid	$9.7M
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
H2015	Comprehensive community support services, per 15 minutes	24,540	$200	$4.9M
H2022	Community-based wrap-around services, per diem	16,680	$240	$4M
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…	9,320	$80	$699.1K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	230	$210	$49.2K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	230	$70	$16.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	140	$80	$11.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	70	$80	$5.8K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	70	$40	$3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$30	$1.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	10	$100	$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

Tonya Omar, PLLC — 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
H2022	Community-based wrap-around services, per diem	46	220	3,330	$290	$3.3M
H2015	Comprehensive community support services, per 15 minutes	64	250	10,060	$130	$2.4M
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…	154	1,710	810	$80	$274.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	595	1,130	160	$80	$75.6K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	34	100	140	$170	$61.2K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	168	170	100	$80	$57.7K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	67	130	80	$80	$44.1K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	40	120	140	$80	$29.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	422	870	70	$90	$28.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	765	1,060	150	$30	$27.6K

Nearby Providers

Other providers in the same ZIP code as Tonya Omar, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolina Outreach, LLC	NC	Community/Behavioral Health Agency	$0	$47.6M
Alpha Management Services, Inc.	NC	Community/Behavioral Health Agency	$0	$18.9M
Lincoln Community Health Center Incorporated	NC	Federally Qualified Health Center (FQHC)	$0	$18.1M
Alpha Management Community Services, Inc	NC	Community/Behavioral Health Agency	$0	$14.7M
Youth Extensions Inc.	NC	Community/Behavioral Health Agency	$0	$14.4M
Maxim Healthcare Services, Inc.	NC	Home Health Agency	$0	$10.7M
Emerge-a Child's Place, PLLC	NC	Speech-Language Pathologist	$0	$9.6M
Quality Life Home Health Care LLC	NC	Home Health Agency	$0	$9M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$8.3M
Securing Resources For Consumers, Inc.	NC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.1M

Tonya Omar, PLLC — Billing Profile & Reimbursement Data

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Tonya Omar, PLLC — 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