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 Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Nacolby's House, Incorporated (NPI 1295143881)

Field	Value
Entity Type	Organization
Organization	Nacolby's House, Incorporated
Address	104 Pristine Dr
City	Locust Grove
State	GA
ZIP	30248
Taxonomy	Child Physical Disabilities Respite Care
NPI Enumerated	July 26, 2014

Payer Source	Total Paid
Medicaid	$318.8K
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
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	690	$460	$318.8K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Georgia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Georgia Distribution

Nacolby's House, Incorporated — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	33	30	17,680	$90	$6.9M

Nearby Providers

Other providers in the same ZIP code as Nacolby's House, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Locust Grove Pediatrics	GA	Pediatrics Physician	$0	$2M
Locust Grove Family Medicine	GA	Non-Pharmacy Dispensing Site	$0	$628.2K
Takle Eye Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$522.7K	$0
Jameson Estes	GA	Family Medicine Physician	$148.7K	$0
Regan Frake	GA	Family Medicine Physician	$142.6K	$0
Vivekanand Manocha	GA	Interventional Pain Medicine Physician	$113.4K	$0
Cody Hartley	GA	Physical Therapist	$41.1K	$0
James Rose	GA	Physician Assistant	$40.1K	$0

Nacolby's House, Incorporated — Billing Profile & Reimbursement Data

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Nacolby's House, Incorporated — Billing Profile & Reimbursement Data

Sign up for Nacolby's House, Incorporated — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References