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.

Simmons Early Intervention Therapy, LLC (NPI 1356566756)

Field	Value
Entity Type	Organization
Organization	Simmons Early Intervention Therapy, LLC
Address	110 Hines Dr
City	Goldsboro
State	NC
ZIP	27534
Taxonomy	Developmental Therapist
NPI Enumerated	April 13, 2007

Payer Source	Total Paid
Medicaid	$12.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	95,340	$130	$12.8M
H0038	Self‑help/peer services, per 15 minutes	750	$130	$97K

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

Simmons Early Intervention Therapy, LLC — 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
H0038	Self‑help/peer services, per 15 minutes	241	310	2,820	$120	$1.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1	170	1,880	$90	$481.7K

Nearby Providers

Other providers in the same ZIP code as Simmons Early Intervention Therapy, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Goldsboro Pediatrics PA	NC	Pediatrics Physician	$0	$61.3M
Wayne Memorial Hospital Inc	NC	General Acute Care Hospital	$0	$37.8M
Waynesboro Family Clinic	NC	Mental Health Counselor	$0	$32.8M
Crossroads Support Services, Inc	NC	Home Health Agency	$0	$13.5M
Howell Support Services	NC	Community/Behavioral Health Agency	$0	$11.5M
Clientfirst Of Nc, LLC	NC	Community/Behavioral Health Agency	$0	$10M
Personal Homecare Solutions, Inc.	NC	Personal Care Attendant	$0	$9.5M
Omni Family Of Services North Carolina Inc.	NC	Community/Behavioral Health Agency	$0	$8.5M
Goldsboro Emergency Medical Specialists, Inc.	NC	Emergency Medicine Physician	$0	$8.2M
Triangle Comprehensive Health Services, Inc	NC	Community/Behavioral Health Agency	$0	$8M

Simmons Early Intervention Therapy, LLC — Billing Profile & Reimbursement Data

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Simmons Early Intervention Therapy, LLC — Billing Profile & Reimbursement Data

Sign up for Simmons Early Intervention Therapy, LLC — 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