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.

Tri Support Systems (NPI 1538232186)

Field	Value
Entity Type	Organization
Organization	Tri Support Systems
Address	5307 Brekenwood Rd
City	Pleasant Garden
State	NC
ZIP	27313
Taxonomy	Respite Care
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicaid	$11.4M
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
T2021	Day habilitation, waiver; per 15 minutes	40,300	$130	$5.4M
T2013	Habilitation, educational, waiver; per hour	39,530	$120	$4.6M
H2015	Comprehensive community support services, per 15 minutes	16,290	$70	$1.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	5,940	$40	$255.5K
T2013TF	N/A	80	$140	$11.8K

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

Tri Support Systems — 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
T2013	Habilitation, educational, waiver; per hour	77	190	29,090	$150	$9.1M
T2021	Day habilitation, waiver; per 15 minutes	61	200	25,740	$130	$4.6M
H2015	Comprehensive community support services, per 15 minutes	94	250	10,060	$130	$2.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	77	170	4,310	$80	$958.4K
T2013TF	N/A	38	40	190	$170	$51.8K

Tri Support Systems — Billing Profile & Reimbursement Data

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Tri Support Systems — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References