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.

Bailey's Respite Care (NPI 1174783971)

Field	Value
Entity Type	Organization
Organization	Bailey's Respite Care
Address	2305 Cedar Run Pl Nw
City	Wilson
State	NC
ZIP	27896
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 15, 2008

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2013	Habilitation, educational, waiver; per hour	111,640	$180	$20.1M
T2012	Habilitation, educational; waiver, per diem	27,390	$220	$5.9M
H2015	Comprehensive community support services, per 15 minutes	15,990	$110	$1.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	15,980	$100	$1.5M

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

Bailey's Respite Care — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	26	190	29,090	$150	$9.1M
T2012	Habilitation, educational; waiver, per diem	40	110	21,340	$180	$6.1M
H2015	Comprehensive community support services, per 15 minutes	96	250	10,060	$130	$2.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	35	170	4,310	$80	$958.4K

Nearby Providers

Other providers in the same ZIP code as Bailey's Respite Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kerrie-anne Heron	NC	Internal Medicine Physician	$404.3K	$130
Kelly Senglar-vitale	NC	Physical Therapist	$293.8K	$0
Brittany Marshburn	NC	Physician Assistant	$98.3K	$0
Carolina Gastroenterology Specialists PLLC	NC	Ambulatory Surgical Clinic/Center	$67.3K	$0
Venkatesh Lakshman	NC	Gastroenterology Physician	$61.5K	$0
David Propst	NC	Medical Physician Assistant	$43K	$0

Bailey's Respite Care — Billing Profile & Reimbursement Data

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Bailey's Respite Care — 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