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.

Professional Rehabilitation Consultants (NPI 1598844565)

Field	Value
Entity Type	Organization
Organization	Professional Rehabilitation Consultants
Address	1710 Kay St
City	Greensboro
State	NC
ZIP	27405
Taxonomy	Rehabilitation Psychologist
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$16M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	46,040	$100	$4.4M
T2012	Habilitation, educational; waiver, per diem	17,680	$190	$3.4M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	12,860	$240	$3M
H2025	Ongoing support to maintain employment, per 15 minutes	20,200	$130	$2.6M
T2013	Habilitation, educational, waiver; per hour	12,760	$190	$2.4M
T2013TF	N/A	280	$210	$59.7K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	250	$140	$33.7K
T2029	Specialized medical equipment, not otherwise specified, waiver	30	$170	$4.9K

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

Professional Rehabilitation Consultants — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	134	190	29,090	$150	$9.1M
T2012	Habilitation, educational; waiver, per diem	63	110	21,340	$180	$6.1M
T2029	Specialized medical equipment, not otherwise specified, waiver	5	10	7,090	$340	$2.4M
H2015	Comprehensive community support services, per 15 minutes	26	250	10,060	$130	$2.4M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	6	20	5,970	$280	$2.1M
H2025	Ongoing support to maintain employment, per 15 minutes	8	60	6,380	$120	$1.3M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	116	120	2,780	$150	$966.8K
T2013TF	N/A	14	40	190	$170	$51.8K

Nearby Providers

Other providers in the same ZIP code as Professional Rehabilitation Consultants, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rha Health Services Nc, LLC	NC	Case Management Agency	$0	$32.6M
Triad Adult And Pediatric Medicine, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$29.2M
Amethyst Consulting & Treatment Solutions, PLLC	NC	Social Worker	$0	$25.5M
Cheshire Speech And Voice Center Inc	NC	Speech-Language Pathologist	$0	$20.5M
United Youth Care Services	NC	Clinical Medical Laboratory	$0	$20.2M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$17.8M
County Of Guilford	NC	State or Local Public Health Clinic/Center	$0	$16.9M
Regional Home Care, Inc.	NC	In Home Supportive Care Agency	$0	$14.8M
Ally Home Care Greensboro, LLC	NC	In Home Supportive Care Agency	$0	$11.6M
Crossroads Treatment Center Of Greensboro, PC	NC	Substance Use Disorder Rehabilitation Clinic/Center	$164.1K	$11.1M

Professional Rehabilitation Consultants — Billing Profile & Reimbursement Data

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Professional Rehabilitation Consultants — Billing Profile & Reimbursement Data

Sign up for Professional Rehabilitation Consultants — 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