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.

A Primary Choice, Inc. (NPI 1326288937)

Field	Value
Entity Type	Organization
Organization	A Primary Choice, Inc.
Address	4701 Fayetteville Rd
City	Lumberton
State	NC
ZIP	28358
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	February 23, 2009

Payer Source	Total Paid
Medicaid	$71.2M
Medicare	$0

Key Findings

A PRIMARY CHOICE, INC. is effectively a single-payer Medicaid operator with no Medicare billing on file; its entire recorded lifetime revenue is $71.2M in Medicaid and there is no corresponding Medicare revenue to compare against. The absence of Medicare activity indicates the organization’s patient mix and service contract focus are centered on Medicaid populations and programs.

The provider’s Medicaid revenue is highly concentrated: the top 3 Medicaid codes account for 100.0% of total Medicaid revenue, with S5125 alone representing $68.6M (96.3% of Medicaid revenue). This concentration indicates the business is primarily structured around a narrow set of services rather than a diversified procedure mix.

Service-line implications from the top codes point to in-home personal care operations. S5125 (Attendant care services; per 15 minutes) and S5150 (Unskilled respite care, not hospice; per 15 minutes) are direct-care, non-skilled home support services, implying the provider’s core operations are hands-on attendant and respite care delivered in community or home settings rather than clinic- or facility-based clinical procedures.

Competitive standing in North Carolina is pronounced for the dominant code: the provider ranks #1 of 399 statewide for S5125 and is described as an extreme outlier in volume, placing it in the 100th percentile and well above typical state volume for attendant care services. For S5150 the provider ranks #13 of 168 (93rd percentile), which is a strong but more typical participation level for unskilled respite care.

Volume and billing patterns suggest scale and operational capacity in attendant care: 601.5K claims for S5125 with an average paid/claim of $114 supports the $68.6M revenue attributed to that code, demonstrating sustained high-volume delivery of 15-minute attendant care units rather than occasional or episodic billing. This pattern is consistent with organizations that provide regular, scheduled in-home attendant services to a sizable Medicaid caseload.

Tenure is long enough to establish continuity: the NPI was enumerated on 2009-02-23 (~17 years ago), indicating the organization has been operating under its current NPI for well over a decade, which supports the plausibility of accumulated Medicaid revenue and the development of a dominant market position for S5125 in-state.

From a risk and operational viewpoint, the extreme concentration in a single code (S5125 at 96.3% of Medicaid revenue) implies the provider’s financial performance and utilization metrics will be highly sensitive to policy, rate, or utilization changes affecting attendant care reimbursement. Any payer program changes targeting attendant or personal care services would disproportionately affect this entity’s revenue.

Although the provider shows exceptional dominance for S5125 within North Carolina, its lack of Medicare billing means it does not participate in the Medicare market; analysts should treat this entity as a Medicaid-focused in-home supportive care agency when benchmarking against peers and when building network or utilization models.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	601,520	$110	$68.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	37,670	$70	$2.6M

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

A Primary Choice, Inc. — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	1	400	15,030	$100	$3M
S5150	Unskilled respite care, not hospice; per 15 minutes	13	170	4,310	$80	$958.4K

Nearby Providers

Other providers in the same ZIP code as A Primary Choice, Inc., 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
Southeastern Regional Medical Center	NC	General Acute Care Hospital	$0	$28.8M
Southeastern Integrated Care	NC	Family Medicine Physician	$0	$23.9M
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

A Primary Choice, Inc. — Billing Profile & Reimbursement Data

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A Primary Choice, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References