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.

Turning Point Services, Inc. (NPI 1487695342)

Field	Value
Entity Type	Organization
Organization	Turning Point Services, Inc.
Address	212 N Brady Ave
City	Newton
State	NC
ZIP	28658
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicaid	$45.3M
Medicare	$0

Key Findings

TURNING POINT SERVICES, INC. is effectively a single-payer Medicaid provider: Medicare billing is listed as none and all reported lifetime revenue is Medicaid at $45.3M, indicating the organization’s scale and reimbursement exposure are concentrated in state Medicaid programs rather than Medicare. This payer mix means the provider’s financial performance will largely track Medicaid utilization and rates in North Carolina.

Revenue is highly concentrated in a small set of habilitation and community-support codes: the precomputed top-3 Medicaid codes account for 75.9% of the provider’s total Medicaid revenue, with T2013 alone representing $28.5M (62.9% of Medicaid revenue). That concentration implies the provider’s topline is driven overwhelmingly by hourly habilitation services rather than a broad mix of clinical billings.

The code mix points to an operational focus on habilitation and community support services for people with developmental disabilities: T2013 (Habilitation, educational, waiver; per hour) dominates both revenue and volume (220.8K claims, $129 avg paid/claim, $28.5M revenue), supported by day habilitation T2020 (20.9K claims, $149 avg paid/claim, $3.1M) and comprehensive community support H2015 (33.4K claims, $84 avg paid/claim, $2.8M). These volumes and payment levels indicate a labor- and contact-intensive service model centered on hourly and per-diem program delivery rather than episodic medical procedures.

Competitive standing varies by service line: for its top revenue driver T2013 the provider ranks #10 of 185 in-state (95th percentile) and is described as notably above typical state volume, indicating a leading statewide position in hourly habilitation. By contrast, T2020 ranks #27 of 48 (45th percentile) and H2015 ranks #42 of 251 (84th percentile) and are characterized as typical/unremarkable in-state volumes, so TURNING POINT is a market leader for specific habilitation hours but a more modest participant in some ancillary day- and community-support lines.

Beyond the top three, TURNING POINT bills a breadth of related waiver, respite, and employment-support codes (examples include T2014, S5150, T2016, H0045, H2025), which together indicate multi-service programming. Many of these codes produce smaller revenue shares (individual codes range from about $57.1K to $2.3M) but several show high percentile standings in-state (for example S5150 ranks #17 of 168, 90th percentile; T2016 ranks #21 of 92, 78th percentile), suggesting localized strength in respite and residential habilitation services even if they are not primary revenue drivers.

Operational scale is evident from raw utilization: the provider reported 220.8K claims for T2013 and tens of thousands of claims for related services (e.g., 33.4K for H2015, 30.3K for S5150, 20.9K for T2020), which underscores a high-volume, recurring-service model rather than sporadic episodic care. Average paid-per-claim rates such as $129 for T2013 and $149 for T2020 further show Medicaid reimbursements are meaningful per encounter and likely support a sizable workforce or program infrastructure.

TURNING POINT’s tenure — NPI enumerated on 2006-06-09 (~20 years ago) — indicates an established presence in the state Medicaid landscape, which is consistent with its high-volume standing in T2013. That longevity combined with concentrated Medicaid revenue suggests the organization has longstanding contracts or program relationships within North Carolina’s waiver and community-support ecosystem.

The combination of near-exclusive Medicaid dependence and heavy revenue concentration in a single code group creates measurable financial sensitivity: because 75.9% of Medicaid revenue comes from the top three codes and Medicare provides no offsetting revenue, changes in utilization policy, reimbursement rates, or authorization patterns for T2013/T2020/H2015 could materially affect overall revenue. This profile highlights both operational specialization and potential vulnerability to Medicaid program changes specific to habilitation and community-support services.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2013	Habilitation, educational, waiver; per hour	220,840	$130	$28.5M
T2020	Day habilitation, waiver; per diem	20,900	$150	$3.1M
H2015	Comprehensive community support services, per 15 minutes	33,370	$80	$2.8M
H2016	Comprehensive community support services, per diem	14,680	$160	$2.3M
T2014	Habilitation, prevocational, waiver; per diem	16,540	$130	$2.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	30,300	$60	$1.9M
T2016	Habilitation, residential, waiver; per diem	13,240	$120	$1.6M
H0045	Respite care services, not in the home, per diem	12,650	$80	$948.8K
H2025	Ongoing support to maintain employment, per 15 minutes	8,560	$110	$924.7K
T2021	Day habilitation, waiver; per 15 minutes	8,980	$90	$808.1K

Showing 1–10 of 12

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

Turning Point Services, Inc. — 1 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	10	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	43	70	28,040	$220	$8.2M
T2020	Day habilitation, waiver; per diem	27	50	22,570	$180	$6.2M
T2021	Day habilitation, waiver; per 15 minutes	145	200	25,740	$130	$4.6M
T2014	Habilitation, prevocational, waiver; per diem	9	20	16,540	$150	$4.2M
H2015	Comprehensive community support services, per 15 minutes	42	250	10,060	$130	$2.4M
T2016	Habilitation, residential, waiver; per diem	21	90	5,520	$190	$1.6M
H2025	Ongoing support to maintain employment, per 15 minutes	25	60	6,380	$120	$1.3M
H0045	Respite care services, not in the home, per diem	19	80	4,450	$100	$993.7K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	110	120	2,780	$150	$966.8K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Endeavors Pediatric Therapy Services, LLC	NC	Occupational Therapist	$0	$7.2M
County Of Catawba Office Of Accountant	NC	Land Ambulance	$1.9M	$4.6M
Laura Jean-francois	NC	Nurse Practitioner	$139.7K	$0
Bill Parker	NC	Family Medicine Physician	$113.1K	$22.2K
Julia Childers	NC	Clinical Social Worker	$92.4K	$1.9K
Shannon Sherfey	NC	Family Medicine Physician	$76.1K	$0
Landon Marshall	NC	Family Nurse Practitioner	$17K	$0

Turning Point Services, Inc. — Billing Profile & Reimbursement Data

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Turning Point Services, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References