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.

Carolina Outreach, LLC (NPI 1407284524)

Field	Value
Entity Type	Organization
Organization	Carolina Outreach, LLC
Address	3012 Falstaff Rd
City	Raleigh
State	NC
ZIP	27610
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 29, 2013

Payer Source	Total Paid
Medicaid	$38M
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	57,730	$220	$12.8M
H2015	Comprehensive community support services, per 15 minutes	62,450	$180	$11.1M
H2022	Community-based wrap-around services, per diem	34,300	$290	$10M
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…	15,920	$100	$1.7M
H0038	Self‑help/peer services, per 15 minutes	4,950	$180	$891.7K
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…	9,490	$80	$749.5K
T1017	Targeted case management, each 15 minutes	2,620	$270	$712.4K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	580	$230	$134K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	110	$120	$13.1K
99204	The provider sees a new 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 provider…	70	$110	$8.2K

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

Carolina Outreach, LLC — 1 of 14 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	10	120	15,180	$230	$5M
H2022	Community-based wrap-around services, per diem	16	220	3,330	$290	$3.3M
H2015	Comprehensive community support services, per 15 minutes	14	250	10,060	$130	$2.4M
H0038	Self‑help/peer services, per 15 minutes	115	310	2,820	$120	$1.3M
T1017	Targeted case management, each 15 minutes	78	220	1,700	$150	$1.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	123	170	1,880	$90	$481.7K
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…	82	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…	473	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…	3,493	4,130	670	$50	$219.9K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	28	90	220	$220	$121K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wakemed	NC	General Acute Care Hospital	$0	$140.8M
County Of Wake	NC	State or Local Public Health Clinic/Center	$0	$26.4M
Southlight Healthcare	NC	Community/Behavioral Health Agency	$124.4K	$24.4M
Wake Emergency Physicians PA	NC	Emergency Medicine Physician	$0	$24.3M
Wake Specialty Physicians, LLC	NC	Surgery Physician	$0	$14.8M
Surgical Center For Dental Professionals Of Nc LLC	NC	Ambulatory Surgical Clinic/Center	$0	$11M
Advance Community Health, Inc	NC	Federally Qualified Health Center (FQHC)	$0	$10.8M
Advance Community Health, Inc	NC	Federally Qualified Health Center (FQHC)	$0	$10.7M
Family First Personal Care	NC	In Home Supportive Care Agency	$0	$9.5M
Southeastern Healthcare Of North Carolina, Inc.	NC	Community/Behavioral Health Agency	$0	$8.2M

Carolina Outreach, LLC — Billing Profile & Reimbursement Data

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Carolina Outreach, 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