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.

Durham Ridge Assisted Living (NPI 1578600680)

Field	Value
Entity Type	Organization
Organization	Durham Ridge Assisted Living
Address	3420 Wake Forest Hwy
City	Durham
State	NC
ZIP	27703
Taxonomy	Alzheimer Center (Dementia Center)
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$18.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	195,950	$100	$18.6M

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

Durham Ridge Assisted Living — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	35	1,450	23,320	$50	$2.3M

Nearby Providers

Other providers in the same ZIP code as Durham Ridge Assisted Living, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Based Conceptions, LLC	NC	Community/Behavioral Health Agency	$0	$18.1M
Liasions Community Care	NC	Community/Behavioral Health Agency	$0	$17.2M
University Of North Carolina Hospitals At Chapel Hill	NC	Durable Medical Equipment & Medical Supplies	$0	$7.8M
Veronica Ruvo	NC	Diagnostic Radiology Physician	$96.8K	$0
William Jiranek	NC	Orthopaedic Surgery Physician	$82.7K	$0
Richard Torrey	NC	Family Medicine Physician	$78.7K	$0
Dennis Jacokes	NC	Family Medicine Physician	$75.9K	$0
Ashley Gaudino	NC	Occupational Therapist	$13K	$0
Chelsea Espinoza	NC	Occupational Therapist	$11.6K	$0
Tabatha Moore	NC	Speech-Language Pathologist	$770	$0

Durham Ridge Assisted Living — Billing Profile & Reimbursement Data

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Durham Ridge Assisted Living — 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