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    OpenPayerNPI Medicare & MedicaidIntellichoice Staffing LLC
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    Intellichoice Staffing LLC — Billing Profile & Reimbursement Data

    NPI 1174758478 · Winterville, NC · Nursing Care Agency

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    Intellichoice Staffing LLC is a nursing care agency provider located in Winterville, North Carolina. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationIntellichoice Staffing LLC
    Address4735 Reedy Branch Rd Ste C
    CityWinterville
    StateNC
    ZIP28590
    TaxonomyNursing Care Agency
    NPI EnumeratedMay 15, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$104.1M
    Medicare$0

    Key Findings

    This entity reports no Medicare billing on file and $104.1M in lifetime Medicaid revenue, making it effectively a Medicaid-focused provider at scale rather than a mixed Medicare/Medicaid operator. Its NPI was enumerated 2009-05-15 (~17 years ago), indicating a well-established presence in the state Medicaid market.

    Revenue is highly concentrated: the top three Medicaid codes (T1000, T2013, T2012) together account for 95.3% of this provider’s total Medicaid revenue. In particular, T1000 alone represents $79.6M (76.4% of Medicaid revenue), followed by T2013 at $12.6M (12.1%) and T2012 at $7.1M (6.8%).

    The service mix and code descriptions indicate an operational focus on in-home/private-duty nursing and waiver-based habilitation supports. T1000 (Private duty / independent nursing service(s) - licensed, up to 15 minutes) shows 193.6K claims at $411 avg paid/claim, suggesting a high-volume, unitized private-duty nursing model; T2013 (Habilitation, educational, waiver; per hour) and T2012 (Habilitation, educational; waiver, per diem) point to substantial engagement in waiver habilitation programs.

    Competitive standing on the state Medicaid market is bifurcated: for T1000 this provider is a clear market leader, ranking #1 of 72 providers in-state (100th percentile) and labeled an extreme outlier, far above typical state volume for this code. That dominance on a single high-revenue code makes the organization a primary destination for private-duty nursing spend in the state.

    By contrast, the provider’s positions on habilitation codes are more typical: T2013 ranks #46 of 185 providers in-state (76th percentile) and T2012 ranks #30 of 110 providers in-state (73th percentile); both are described as typical, unremarkable volumes for those codes. These middling ranks suggest the provider competes respectably in waiver habilitation but is not unusually large in those lines compared with peers.

    Secondary codes beyond the top three account for only a small share of revenue, illustrating a long tail of ancillary services and supplies. Examples include T1005 $2.1M (2.1%), T2025 $1.3M (1.2%), S5150 $920.4K (0.9%), and various DME/supply codes under $200K each; together these items do not materially diversify the provider’s revenue base.

    The extreme concentration in a single code (T1000 at 76.4%) combined with the absence of Medicare revenue implies material exposure to Medicaid policy, rate, or utilization shifts for private-duty nursing. Any state-level changes to coverage, reimbursement, or prior authorization for T1000 or waiver services could disproportionately affect this provider’s revenue.

    The provider’s long tenure (~17 years) and very large T1000 claim volume (193.6K claims) indicate an entrenched operational footprint in North Carolina’s home-care and waiver ecosystems, which supports capacity to deliver high-frequency, short-interval nursing visits at scale. However, that same scale is concentrated into a narrow set of service codes, which should be considered when assessing business resilience and payer negotiation leverage.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes193,560$410$79.6M
    T2013Habilitation, educational, waiver; per hour67,010$190$12.6M
    T2012Habilitation, educational; waiver, per diem34,970$200$7.1M
    T1005Respite care services, up to 15 minutes7,400$290$2.1M
    T2025Waiver services; not otherwise specified (nos)8,390$150$1.3M
    S5150Unskilled respite care, not hospice; per 15 minutes9,200$100$920.4K
    A4927Gloves, non-sterile, per 1004,740$40$175.3K
    S5125Attendant care services; per 15 minutes1,910$80$153K
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.3,840$40$149.6K
    A4554Disposable underpads, all sizes1,430$40$57.2K

    Showing 1–10 of 12

    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.

    Full comparison — all codes billed, vs. North Carolina median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes17035,680$400$16M
    T2013Habilitation, educational, waiver; per hour4619029,090$150$9.1M
    T2012Habilitation, educational; waiver, per diem3011021,340$180$6.1M
    S5125Attendant care services; per 15 minutes33040015,030$100$3M
    99509A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.1,1721,45023,320$50$2.3M
    S5150Unskilled respite care, not hospice; per 15 minutes621704,310$80$958.4K
    T1005Respite care services, up to 15 minutes8301,190$230$849.2K
    T2025Waiver services; not otherwise specified (nos)11801,420$170$562K
    A4554Disposable underpads, all sizes952001,300$40$493.2K
    A4927Gloves, non-sterile, per 100341501,490$30$389.7K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Life Care IncNCIn Home Supportive Care Agency$0$8.6M
    Our Children's Clinic, PANCPediatrics Physician$0$7.9M
    Brooke BearNCInternal Medicine Physician$339.6K$0
    Shirley PatelNCFamily Medicine Physician$311.8K$0
    Meena MurphyNCInternal Medicine Physician$184.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Intellichoice Staffing LLC — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina