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.

Upward Change Health Services, LLC (NPI 1306083688)

Field	Value
Entity Type	Organization
Organization	Upward Change Health Services, LLC
Address	2003 E Nc Highway 54
City	Durham
State	NC
ZIP	27713
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 8, 2009

Payer Source	Total Paid
Medicaid	$18.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	57,690	$240	$13.9M
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…	30,990	$80	$2.5M
H0038	Self‑help/peer services, per 15 minutes	17,640	$130	$2.2M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,740	$40	$179.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	510	$110	$56.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	620	$50	$28.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	110	$80	$8.6K
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…	40	$100	$3.9K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	30	$40	$1.1K

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

Upward Change Health Services, LLC — 2 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	10	220	3,330	$290	$3.3M
H0038	Self‑help/peer services, per 15 minutes	50	310	2,820	$120	$1.3M
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…	30	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…	3,950	4,400	960	$60	$271.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	246	380	250	$80	$66.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	181	620	210	$50	$63.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	41	570	240	$20	$49K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	95	130	80	$80	$44.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	117	870	70	$90	$28.9K

Nearby Providers

Other providers in the same ZIP code as Upward Change Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
B & D Integrated Health Services	NC	Federally Qualified Health Center (FQHC)	$0	$48.8M
Carolina Center For Autism Services, LLC	NC	Behavior Analyst	$0	$41M
Amy C. Davidian, Dds, PA	NC	Pediatric Dentistry	$0	$15.4M
Community Care Service LLC	NC	Community/Behavioral Health Agency	$0	$11.5M
Carolina Community Support Services, Inc.	NC	Community/Behavioral Health Agency	$0	$11.1M
Med-el Corporation	NC	Durable Medical Equipment & Medical Supplies	$3.2M	$6.4M
B & D Integrated Health Services	NC	Family Medicine Physician	$0	$8.9M
Kc Care Management,inc.	NC	Adult Care Home Facility	$0	$8.3M
Greg J. Perentis Dds. PLLC	NC	Dentist	$0	$8.1M
Nuangels Home Care	NC	In Home Supportive Care Agency	$0	$7.1M

Upward Change Health Services, LLC — Billing Profile & Reimbursement Data

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Upward Change Health 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