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.

Lindley Habilitation Services Inc (NPI 1558410233)

Field	Value
Entity Type	Organization
Organization	Lindley Habilitation Services Inc
Address	4214 Beechwood Dr Ste 101
City	Greensboro
State	NC
ZIP	27410
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 10, 2007

Payer Source	Total Paid
Medicaid	$187.9M
Medicare	$0

Key Findings

LINDLEY HABILITATION SERVICES’ Medicaid revenue is overwhelmingly driven by waiver habilitation and day habilitation services: T2013 (Habilitation, educational, waiver; per hour) generated $68.7M (36.6% of Medicaid revenue), T2021 (Day habilitation, waiver; per 15 minutes) generated $53.4M (28.4%), and T2012 (Habilitation, educational; waiver, per diem) generated $35.4M (18.9%). These top codes reflect an operational focus on intensive habilitation and day-program delivery rather than medical or acute services, with unit types spanning per-hour, per-15-minute, and per-diem billing.

Top-line revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 83.9% of this provider's total Medicaid revenue, and the provider’s reported Total Medicaid revenue is $187.9M. That degree of concentration signals most of the organization’s financial performance is tied to a small set of waiver-related service lines.

This profile is effectively single-payer on file: Medicare revenue is none (no Medicare billing on file) while Medicaid is $187.9M, indicating the organization operates almost entirely within the Medicaid waiver/payment ecosystem. Analysts should treat Medicaid policy, reimbursement, and waiver program changes as the primary drivers of the provider’s financial and operational risk.

By statewide competitive measures, LINDLEY is a major, high-volume provider for its flagship codes: T2021 ranks #1 of 199 providers in-state (100th percentile; extreme outlier), T2013 ranks #2 of 185 (99th percentile; extreme outlier), and T2012 ranks #3 of 110 (98th percentile; extreme outlier). Those ranks and percentiles characterize the provider as a dominant statewide player for day habilitation and educational habilitation services, operating at volumes far above typical state peers.

Claim volumes and unit rates underscore scale and intensity: T2013 shows 473.7K claims at $145 avg paid/claim, T2021 shows 392.8K claims at $136 avg paid/claim, and T2012 shows 209.7K claims at $169 avg paid/claim. The combination of very high claim counts and per-unit billing (hour, 15-minute, per-diem) indicates sustained, high-frequency service delivery consistent with large day-program and in-home habilitation operations.

The provider also bills a mix of complementary community supports and respite services, though at much smaller shares: H2016 generated $9.1M (4.8%, rank #22 of 65, 67th percentile — typical), T2020 generated $7.9M (4.2%, rank #17 of 48, 66th percentile — typical), S5150 generated $6.2M (3.3%, rank #4 of 168, 98th percentile — extreme outlier), and H2015 generated $5.1M (2.7%, rank #13 of 251, 95th percentile — notably above typical). These secondary codes show operational breadth across community support and respite, with particular outlier strength in S5150 relative to peers.

The provider has an established operating history: NPI enumerated (registered) 2007-01-10 (~19 years ago), consistent with a multi-year presence in state waiver networks and the scale reflected in its billing profile. That tenure likely contributed to the large statewide footprint evidenced by the extreme outlier ranks on core habilitation codes.

The heavy revenue dependence on a small set of waiver codes creates concentrated policy and reimbursement exposure: with the top three codes accounting for 83.9% of Medicaid revenue, any material changes in waiver eligibility, service definitions, or per-unit rates for T2013, T2021, or T2012 could materially affect revenue. Risk assessments and payer negotiations should prioritize these specific codes and related utilization patterns given their outsized contribution to the $187.9M Medicaid footprint.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2013	Habilitation, educational, waiver; per hour	473,660	$150	$68.7M
T2021	Day habilitation, waiver; per 15 minutes	392,820	$140	$53.4M
T2012	Habilitation, educational; waiver, per diem	209,720	$170	$35.4M
H2016	Comprehensive community support services, per diem	42,850	$210	$9.1M
T2020	Day habilitation, waiver; per diem	45,660	$170	$7.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	86,970	$70	$6.2M
H2015	Comprehensive community support services, per 15 minutes	66,410	$80	$5.1M
H2025	Ongoing support to maintain employment, per 15 minutes	13,120	$110	$1.4M
T2025	Waiver services; not otherwise specified (nos)	5,050	$100	$499.6K
T2013TF	N/A	620	$180	$110.7K

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

Lindley Habilitation Services Inc — 5 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	2	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	22	70	28,040	$220	$8.2M
T2020	Day habilitation, waiver; per diem	17	50	22,570	$180	$6.2M
T2012	Habilitation, educational; waiver, per diem	3	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	1	200	25,740	$130	$4.6M
H2015	Comprehensive community support services, per 15 minutes	13	250	10,060	$130	$2.4M
H2025	Ongoing support to maintain employment, per 15 minutes	18	60	6,380	$120	$1.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	4	170	4,310	$80	$958.4K
T2025	Waiver services; not otherwise specified (nos)	18	80	1,420	$170	$562K
T2013TF	N/A	7	40	190	$170	$51.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Clinical Laboratories Inc	NC	Clinical Medical Laboratory	$14.6M	$22M
Health & Home Services, Inc.	NC	Nursing Care Agency	$0	$23.9M
Exceptional Family Support, LLC	NC	Community/Behavioral Health Agency	$0	$14.4M
Solstas Lab Partners Group LLC	NC	Clinical Medical Laboratory	$0	$11.7M
Angela Hawkes	NC	Rheumatology Physician	$2.3M	$0
James Beekman	NC	Rheumatology Physician	$2.1M	$0
Asap Labs And Care, LLC	NC	Clinical Medical Laboratory	$78.4K	$1.7M
Greensboro Ophthalmology Asc LLC	NC	Ambulatory Surgical Clinic/Center	$750.1K	$379.4K
Paula Pecen	NC	Ophthalmology Physician	$1.1M	$0
Mario Mitkov	NC	Dermatology Physician	$881.9K	$0

Lindley Habilitation Services Inc — Billing Profile & Reimbursement Data

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Lindley Habilitation 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