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.

Frederick Myles (NPI 1295043800)

Field	Value
Entity Type	Individual
Organization	Frederick Myles
Address	210 Nash St S
City	Wilson
State	NC
ZIP	27893
Taxonomy	Home Health Aide
NPI Enumerated	September 16, 2010

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99509	A 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.	208,820	$40	$9.2M

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

Frederick Myles — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A 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.	28	1,450	23,320	$50	$2.3M

Nearby Providers

Other providers in the same ZIP code as Frederick Myles, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Caring Heart Case Management, Inc.	NC	Developmentally Disabled Services Day Training Agency	$0	$127.5M
Stepping Stones Community Resources, Incorporated	NC	Community/Behavioral Health Agency	$0	$38.2M
Eastern Carolina Pediatrics PA	NC	Pediatrics Physician	$0	$24.6M
Phillips Home Health Care	NC	Home Health Agency	$0	$18M
Bridges Of Hope Inc	NC	Multi-Specialty Clinic/Center	$0	$18M
Interim Healthcare - Morris Group, Inc.	NC	Home Health Agency	$0	$14.8M
Phillips Home Health Care Agency	NC	Home Health Agency	$0	$13.9M
Wilson House LLC	NC	Adult Care Home Facility	$0	$11.7M
Dlp Wilson Medical Center LLC	NC	General Acute Care Hospital	$0	$11.5M
Polley Clinic Of Dermatology & Dermatologic Surgery	NC	Dermatopathology Physician	$0	$9.1M

Frederick Myles — Billing Profile & Reimbursement Data

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Frederick Myles — 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