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.

Southeastern Integrated Care (NPI 1326036138)

Field	Value
Entity Type	Organization
Organization	Southeastern Integrated Care
Address	105 Farm Brook Dr
City	Lumberton
State	NC
ZIP	28358
Taxonomy	Family Medicine Physician
NPI Enumerated	October 6, 2005

Payer Source	Total Paid
Medicaid	$23.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	46,830	$270	$12.8M
H2022	Community-based wrap-around services, per diem	10,540	$270	$2.9M
H0040	Assertive community treatment program, per diem	7,670	$360	$2.7M
H2033	Multisystemic therapy for juveniles, per 15 minutes	3,620	$470	$1.7M
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…	15,590	$80	$1.2M
H2035	Alcohol and/or other drug treatment program, per hour	5,360	$210	$1.1M
H0038	Self‑help/peer services, per 15 minutes	3,100	$140	$418.9K
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…	4,880	$50	$254K
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…	1,530	$140	$206.7K
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…	5,100	$30	$163.3K

Showing 1–10 of 41

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

Southeastern Integrated Care — 1 of 25 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

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	74	120	15,180	$230	$5M
H2033	Multisystemic therapy for juveniles, per 15 minutes	10	20	3,620	$390	$3.9M
H2035	Alcohol and/or other drug treatment program, per hour	34	70	4,970	$190	$3.7M
H2022	Community-based wrap-around services, per diem	69	220	3,330	$290	$3.3M
H2015	Comprehensive community support services, per 15 minutes	24	250	10,060	$130	$2.4M
H0038	Self‑help/peer services, per 15 minutes	148	310	2,820	$120	$1.3M
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…	50	110	1,070	$130	$628.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1,006	2,850	10,910	$10	$330.3K
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…	85	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…	897	4,400	960	$60	$271.3K

Showing 1–10 of 41

Nearby Providers

Other providers in the same ZIP code as Southeastern Integrated Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Health Choice, Inc.	NC	Community/Behavioral Health Agency	$0	$93.3M
Children's Health Of Carolina, PA	NC	Pediatrics Physician	$0	$90.4M
A Primary Choice, Inc.	NC	In Home Supportive Care Agency	$0	$71.2M
Southeastern Regional Medical Center	NC	General Acute Care Hospital	$0	$28.8M
Charles Graham	NC	Personal Care Attendant	$0	$23.9M
Speech Solutions Inc	NC	Speech-Language Pathologist	$0	$19.2M
Stephens Outreach Center, Inc	NC	Community/Behavioral Health Agency	$0	$17.4M
A Primary Choice	NC	In Home Supportive Care Agency	$0	$15.6M
Premier Behavioral Services Inc	NC	Community/Behavioral Health Agency	$0	$14.6M
Aaa Homecare	NC	Home Health Agency	$0	$12M

Southeastern Integrated Care — Billing Profile & Reimbursement Data

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Southeastern Integrated Care — 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