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.

Meridian Behavioral Health Services, Inc. (NPI 1366462897)

Field	Value
Entity Type	Organization
Organization	Meridian Behavioral Health Services, Inc.
Address	44 Bonnie Ln
City	Sylva
State	NC
ZIP	28779
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	38,910	$180	$7.2M
H0038	Self‑help/peer services, per 15 minutes	23,120	$40	$947.8K
H2022	Community-based wrap-around services, per diem	2,410	$260	$618.6K
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…	5,130	$80	$384.8K
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…	4,780	$50	$224.8K
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…	1,230	$90	$109.6K
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…	1,340	$70	$96.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	660	$110	$69.5K
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…	1,010	$50	$46.5K
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…	410	$40	$14.9K

Showing 1–10 of 15

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

Meridian Behavioral Health Services, Inc. — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	24	120	15,180	$230	$5M
H2022	Community-based wrap-around services, per diem	120	220	3,330	$290	$3.3M
H0038	Self‑help/peer services, per 15 minutes	39	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…	665	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…	908	4,400	960	$60	$271.3K
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…	2,356	4,130	670	$50	$219.9K
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…	73	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…	38	620	210	$50	$63.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	72	170	100	$80	$57.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	87	230	320	$30	$49.1K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Meridian Behavioral Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smoky Mountain Center For Mh/dd/sas	NC	Health Maintenance Organization	$0	$51.5M
Dlp Western Carolina Physician Practices LLC	NC	Internal Medicine Physician	$0	$14M
Dlp Harris Regional Hospital LLC	NC	General Acute Care Hospital	$0	$8.3M
Skyland House, LLC	NC	Adult Care Home Facility	$0	$7.2M
John Buenting	NC	Otolaryngology Physician	$325.9K	$0
Shawn Kosnik	NC	Otolaryngology Physician	$316.8K	$0
Ofelia Balta	NC	Internal Medicine Physician	$270.2K	$0
Roy Gallinger	NC	Family Medicine Physician	$259K	$0
Clifford Mault	NC	Internal Medicine Physician	$97.8K	$116.3K
Leslie Norris	NC	Family Nurse Practitioner	$190.2K	$0

Meridian Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Meridian Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Meridian Behavioral Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Meridian Behavioral Health Services, Inc. — 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