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.

North Carolina Outreach Home Care LLC (NPI 1346399870)

Field	Value
Entity Type	Organization
Organization	North Carolina Outreach Home Care LLC
Address	1155 N Main St Ste 16
City	Marion
State	NC
ZIP	28752
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 10, 2007

Payer Source	Total Paid
Medicaid	$16.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	33,710	$220	$7.4M
T2021	Day habilitation, waiver; per 15 minutes	23,010	$190	$4.3M
T2013	Habilitation, educational, waiver; per hour	30,120	$130	$3.8M
H2015	Comprehensive community support services, per 15 minutes	8,140	$100	$838.4K
T2013TF	N/A	1,180	$190	$225.2K
S5150	Unskilled respite care, not hospice; per 15 minutes	3,130	$60	$200K
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	$100	$2.9K
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…	20	$70	$1.1K
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…	20	$60	$890
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	10	$20	$210

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

North Carolina Outreach Home Care LLC — 1 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	89	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	30	70	28,040	$220	$8.2M
T2021	Day habilitation, waiver; per 15 minutes	111	200	25,740	$130	$4.6M
H2015	Comprehensive community support services, per 15 minutes	136	250	10,060	$130	$2.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	92	170	4,310	$80	$958.4K
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…	1,621	1,710	810	$80	$274.5K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	194	200	670	$20	$167K
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…	589	620	210	$50	$63.1K
T2013TF	N/A	1	40	190	$170	$51.8K
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…	556	570	240	$20	$49K

Nearby Providers

Other providers in the same ZIP code as North Carolina Outreach Home Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Companion Home Care, LLC	NC	Community/Behavioral Health Agency	$0	$63.6M
Mountain Area Community Services	NC	Personal Care Attendant	$0	$10.3M
Strategic Interventions, LLC	NC	Community/Behavioral Health Agency	$0	$9.9M
Mh Mission Hospital Mcdowell, Lllp	NC	General Acute Care Hospital	$0	$7.6M
Mcdowell Assisted Living,llc	NC	Assisted Living Facility	$0	$7.1M
Mh Mission Hospital Mcdowell, Lllp	NC	Rural Health Clinic/Center	$0	$7.1M
Mcdowell County	NC	Ambulance	$687.7K	$2.1M
James Weegar	NC	Physician Assistant	$284.2K	$0
Eric Roslonski	NC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$148.7K	$0
Carl Dean	NC	Physical Therapist	$78K	$0

North Carolina Outreach Home Care LLC — Billing Profile & Reimbursement Data

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North Carolina Outreach Home Care 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