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.

Elite Group Services, Inc. (NPI 1407253875)

Field	Value
Entity Type	Organization
Organization	Elite Group Services, Inc.
Address	1188 Fayetteville Rd
City	Raeford
State	NC
ZIP	28376
Taxonomy	Personal Care Attendant
NPI Enumerated	December 1, 2014

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	41,940	$90	$3.6M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	71,880	$40	$3.1M
H2035	Alcohol and/or other drug treatment program, per hour	12,930	$190	$2.5M
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…	170	$50	$8.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$40	$860

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

Elite Group Services, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2035	Alcohol and/or other drug treatment program, per hour	20	70	4,970	$190	$3.7M
S5125	Attendant care services; per 15 minutes	94	400	15,030	$100	$3M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	295	1,450	23,320	$50	$2.3M
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…	1,309	1,710	810	$80	$274.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	682	870	70	$90	$28.9K

Nearby Providers

Other providers in the same ZIP code as Elite Group Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Serenity Therapeutic Services, LLC	NC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.1M
Hoke Healthcare LLC	NC	General Acute Care Hospital	$0	$24.8M
Kids First Pediatrics Of Raeford, PC	NC	Pediatrics Physician	$0	$16.6M
Tt&t Services Inc	NC	Community/Behavioral Health Agency	$0	$13.6M
Quest Family Care, Inc	NC	Community/Behavioral Health Agency	$0	$7.4M
Hoke Emergency Group, PC	NC	Emergency Medicine Physician	$0	$7.1M
Hoke Healthcare, LLC	NC	Land Ambulance	$374.7K	$2.7M
Kathy Settle	NC	Family Nurse Practitioner	$381.6K	$0
Ron Faircloth	NC	Optometrist	$120.7K	$0
Anand Venkatraman	NC	Neurology Physician	$66.9K	$0

Elite Group Services, Inc. — Billing Profile & Reimbursement Data

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Elite Group Services, Inc. — 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