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 Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

The Arc Of The Piedmont, Inc. (NPI 1528182821)

Field	Value
Entity Type	Organization
Organization	The Arc Of The Piedmont, Inc.
Address	509 Park St
City	Charlottesville
State	VA
ZIP	22902
Taxonomy	Speech/Language/Hearing Specialist/Technologist
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$29M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	10,930	$1,510	$16.5M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	860	$8,580	$7.4M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	13,530	$360	$4.9M
T2021	Day habilitation, waiver; per 15 minutes	2,600	$80	$195.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

The Arc Of The Piedmont, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	34	40	6,080	$1,660	$27.6M
H2022	Community-based wrap-around services, per diem	29	140	4,450	$1,150	$15.3M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	27	200	2,840	$320	$2.4M
T2021	Day habilitation, waiver; per 15 minutes	42	110	1,500	$340	$1.3M

Nearby Providers

Other providers in the same ZIP code as The Arc Of The Piedmont, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saferide Medical Transport LLC	VA	Non-emergency Medical Transport (VAN)	$0	$6.8M
Pediatric Associates Of Charlottesville	VA	Pediatrics Physician	$0	$6.1M
County Of Albemarle	VA	Land Ambulance	$1.5M	$1.3M
John Hendrix	VA	MOHS-Micrographic Surgery Physician	$574.5K	$0
Jennifer Tromberg	VA	MOHS-Micrographic Surgery Physician	$422.4K	$0
Hina Qureshi	VA	Anatomic Pathology & Clinical Pathology Physician	$405.8K	$0
Christopher Scott	VA	Dermatology Physician	$250.5K	$0
Wegmans Food Markets, Inc.	VA	Pharmacy	$198.7K	$0
Emily Christman	VA	Gastroenterology Physician	$176.5K	$0
Donna Reese	VA	Primary Care Nurse Practitioner	$134.7K	$13.3K

The Arc Of The Piedmont, Inc. — Billing Profile & Reimbursement Data

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The Arc Of The Piedmont, 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