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.

Epiphany Family Services, LLC (NPI 1255640645)

Field	Value
Entity Type	Organization
Organization	Epiphany Family Services, LLC
Address	102 Church St Ne
City	Concord
State	NC
ZIP	28025
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 2, 2010

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2035	Alcohol and/or other drug treatment program, per hour	32,150	$180	$5.8M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	7,200	$130	$914.4K
H0038	Self‑help/peer services, per 15 minutes	6,410	$140	$890.6K
T1017	Targeted case management, each 15 minutes	1,980	$290	$569.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	6,860	$60	$384.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,510	$70	$99.3K
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…	450	$70	$29.8K
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	$90	$12K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	530	$20	$11.7K
T1016	Case management, each 15 minutes	70	$60	$4.2K

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.

Claims Volume vs. North Carolina Distribution

Epiphany Family Services, LLC — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2035	Alcohol and/or other drug treatment program, per hour	11	70	4,970	$190	$3.7M
H0038	Self‑help/peer services, per 15 minutes	109	310	2,820	$120	$1.3M
T1017	Targeted case management, each 15 minutes	92	220	1,700	$150	$1.3M
T1016	Case management, each 15 minutes	214	230	3,210	$110	$1.1M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	103	360	1,830	$40	$819.8K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	17	110	1,070	$130	$628.2K
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…	1,021	1,710	810	$80	$274.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,860	4,400	960	$60	$271.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,381	4,130	670	$50	$219.9K
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…	599	1,130	160	$80	$75.6K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Epiphany Family Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$56.5M
What Matters Most	NC	Community/Behavioral Health Agency	$0	$37.8M
Eventus Wholehealth, PLLC	NC	Family Medicine Physician	$0	$26.6M
Walkers Home Care	NC	Case Management Agency	$0	$23.3M
Greater Home Health Services LLC	NC	Nursing Care Agency	$0	$13.6M
Mcleod Centers For Wellbeing	NC	Community/Behavioral Health Agency	$91.3K	$11.4M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$9.9M
Community Specialized Services, Inc.	NC	Foster Care Agency	$0	$9.2M
The Charlotte-mecklenburg Hospital Authority	NC	Pediatrics Physician	$0	$8.1M
Gateway Ambulatory Surgery Center, LLC	NC	Clinic/Center	$1.3M	$2.7M

Epiphany Family Services, LLC — Billing Profile & Reimbursement Data

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Epiphany Family Services, LLC — 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