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.

Mcdowell Assisted Living,llc (NPI 1619047123)

Field	Value
Entity Type	Organization
Organization	Mcdowell Assisted Living,llc
Address	5235 Nc 226 S
City	Marion
State	NC
ZIP	28752
Taxonomy	Assisted Living Facility
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicaid	$7.1M
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.	109,670	$70	$7.1M

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

Mcdowell Assisted Living,llc — 0 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.	125	1,450	23,320	$50	$2.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Companion Home Care, LLC	NC	Community/Behavioral Health Agency	$0	$63.6M
North Carolina Outreach Home Care LLC	NC	Community/Behavioral Health Agency	$0	$16.7M
Mountain Area Community Services	NC	Personal Care Attendant	$0	$10.3M
Strategic Interventions, LLC	NC	Community/Behavioral Health Agency	$0	$9.9M
Mh Mission Hospital Mcdowell, Lllp	NC	General Acute Care Hospital	$0	$7.6M
Mh Mission Hospital Mcdowell, Lllp	NC	Rural Health Clinic/Center	$0	$7.1M
Mcdowell County	NC	Ambulance	$687.7K	$2.1M
James Weegar	NC	Physician Assistant	$284.2K	$0
Eric Roslonski	NC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$148.7K	$0
Carl Dean	NC	Physical Therapist	$78K	$0

Mcdowell Assisted Living,llc — Billing Profile & Reimbursement Data

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Mcdowell Assisted Living,llc — Billing Profile & Reimbursement Data

Sign up for Mcdowell Assisted Living,llc — 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