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.

Pender Adult Service, Inc (NPI 1568514057)

Field	Value
Entity Type	Organization
Organization	Pender Adult Service, Inc
Address	901 S Walker St
City	Burgaw
State	NC
ZIP	28425
Taxonomy	Home Health Agency
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	45,630	$110	$4.9M
T1016	Case management, each 15 minutes	14,810	$130	$1.9M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	5,580	$170	$926.4K
S5170	Home delivered meals, including preparation; per meal	8,420	$10	$67.3K
A4554	Disposable underpads, all sizes	660	$60	$37.3K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	660	$60	$37.1K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	520	$40	$21.9K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	370	$60	$20.6K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	320	$60	$18.7K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	300	$30	$8.8K

Showing 1–10 of 13

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

Pender Adult Service, Inc — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	85	400	15,030	$100	$3M
T1016	Case management, each 15 minutes	46	230	3,210	$110	$1.1M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	36	120	2,780	$150	$966.8K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	42	60	530	$50	$669.2K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	98	100	860	$100	$640.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	84	130	610	$110	$637.1K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	64	110	480	$110	$515K
A4554	Disposable underpads, all sizes	131	200	1,300	$40	$493.2K
A4927	Gloves, non-sterile, per 100	118	150	1,490	$30	$389.7K
S5170	Home delivered meals, including preparation; per meal	12	20	36,990	$10	$332.8K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Pender Adult Service, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Horizons Center Inc	NC	Community/Behavioral Health Agency	$0	$37.3M
Larry J. Moray Dds, Ms, PA	NC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$9.8M
Pender Ems And Fire Inc	NC	Land Ambulance	$735.7K	$596.6K
Bryan Weckel	NC	Family Medicine Physician	$151.6K	$22.2K
Hannah Weise	NC	Occupational Therapist	$127.3K	$0
Kyle Mccann	NC	Family Nurse Practitioner	$124K	$0
Rebecca Denson	NC	Family Nurse Practitioner	$119K	$0

Pender Adult Service, Inc — Billing Profile & Reimbursement Data

Sign up for Pender Adult Service, Inc — Billing Profile & Reimbursement Data policy alerts

Pender Adult Service, Inc — Billing Profile & Reimbursement Data

Sign up for Pender Adult Service, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References