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.

Sparc Network (NPI 1396155834)

Field	Value
Entity Type	Organization
Organization	Sparc Network
Address	3800 Arco Corporate Dr Ste 150
City	Charlotte
State	NC
ZIP	28273
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 6, 2014

Payer Source	Total Paid
Medicaid	$40.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	51,560	$430	$21.9M
H2015	Comprehensive community support services, per 15 minutes	33,660	$190	$6.4M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1,780	$2,990	$5.3M
H0038	Self‑help/peer services, per 15 minutes	8,230	$280	$2.3M
T1017	Targeted case management, each 15 minutes	6,400	$260	$1.6M
H2011	Crisis intervention service, per 15 minutes	4,300	$260	$1.1M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	3,760	$300	$1.1M
H0040	Assertive community treatment program, per diem	1,320	$240	$310.3K
H202222	N/A	20	$2,800	$42K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	280	$90	$24.4K

Showing 1–10 of 13

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

Sparc Network — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	96	120	15,180	$230	$5M
H2022	Community-based wrap-around services, per diem	12	220	3,330	$290	$3.3M
H2015	Comprehensive community support services, per 15 minutes	40	250	10,060	$130	$2.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	35	80	2,380	$160	$1.8M
H0038	Self‑help/peer services, per 15 minutes	93	310	2,820	$120	$1.3M
T1017	Targeted case management, each 15 minutes	36	220	1,700	$150	$1.3M
H2011	Crisis intervention service, per 15 minutes	12	60	850	$490	$1.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	89	170	1,880	$90	$481.7K
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…	3,672	4,130	670	$50	$219.9K
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…	155	170	100	$80	$57.7K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Sparc Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midcarolina Pediatrics	NC	Pediatrics Physician	$0	$17.1M
Marcela Mujica Dmd	NC	Pediatric Dentistry	$0	$12.6M
Mga Home Healthcare Fayetteville, LLC	NC	Nursing Care Agency	$0	$12M
Bluedot Medical Inc	NC	Durable Medical Equipment & Medical Supplies	$0	$10.8M
Delta Behavioral Group, PLLC	NC	Community/Behavioral Health Agency	$0	$8.1M
Robert L. Young, Jr. , Dds	NC	Pediatric Dentistry	$0	$7.9M
Kilroy Company	NC	Durable Medical Equipment & Medical Supplies	$0	$7.2M
James Antezana	NC	Vascular Surgery Physician	$1M	$0
Meridian Laboratory Corp	NC	Clinical Medical Laboratory	$379.2K	$554.7K
Adediji Osinloye	NC	Internal Medicine Physician	$909.6K	$0

Sparc Network — Billing Profile & Reimbursement Data

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Sparc Network — 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