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.

Summerland Homes, Inc. (NPI 1184780637)

Field	Value
Entity Type	Organization
Organization	Summerland Homes, Inc.
Address	73 Kennedy Road Anx
City	Weaverville
State	NC
ZIP	28787
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicaid	$27.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	40,470	$320	$13M
H2015	Comprehensive community support services, per 15 minutes	54,470	$160	$8.6M
T2013	Habilitation, educational, waiver; per hour	21,010	$140	$2.8M
T2012	Habilitation, educational; waiver, per diem	12,630	$220	$2.8M
T2020	Day habilitation, waiver; per diem	910	$150	$138K
H2015CR	N/A	260	$180	$45.8K
T2013TF	N/A	220	$180	$40.4K

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

Summerland Homes, Inc. — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	114	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	24	70	28,040	$220	$8.2M
T2020	Day habilitation, waiver; per diem	43	50	22,570	$180	$6.2M
T2012	Habilitation, educational; waiver, per diem	73	110	21,340	$180	$6.1M
H2015	Comprehensive community support services, per 15 minutes	21	250	10,060	$130	$2.4M
H2015CR	N/A	2	10	620	$160	$96.4K
T2013TF	N/A	20	40	190	$170	$51.8K

Nearby Providers

Other providers in the same ZIP code as Summerland Homes, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossroads Treatment Center Of Weaverville, PC	NC	Substance Use Disorder Rehabilitation Clinic/Center	$142.4K	$4.4M
Phillip Adams	NC	Physical Therapist	$128K	$0
Alicia Emery	NC	Family Nurse Practitioner	$117.2K	$0
Kimberley Walters	NC	Optometrist	$74.8K	$0

Summerland Homes, Inc. — Billing Profile & Reimbursement Data

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Summerland Homes, Inc. — 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