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.

Rha Health Services Nc, LLC (NPI 1639204316)

Field	Value
Entity Type	Organization
Organization	Rha Health Services Nc, LLC
Address	17 Church St
City	Asheville
State	NC
ZIP	28801
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$117.3M
Medicare	$0

Key Findings

RHA HEALTH SERVICES NC, LLC reports $117.3M in lifetime Medicaid revenue and has no Medicare billing on file; this profile makes the organization effectively single-payer (Medicaid)-focused in scale and exposure. The absence of Medicare claims indicates the provider’s operations and reimbursement risk are concentrated entirely within state Medicaid programs and waiver-funded services.

Revenue is highly concentrated in a small set of waiver/day habilitation codes: the precomputed top 3 Medicaid codes by revenue account for 68.5% of this provider's total Medicaid revenue, led by T2021 ($34.7M, 29.6%), H2016 ($23.1M, 19.7%), and T2020 ($22.5M, 19.2%). This concentration signals that a large majority of the provider’s Medicaid dollars flow from day habilitation and comprehensive community support services rather than a broad mix of service lines.

The code mix and payment units point to a day-program and community-support operating model: T2021 (Day habilitation, waiver; per 15 minutes), T2020 (Day habilitation, waiver; per diem) and H2016 (Comprehensive community support services, per diem) together dominate revenue. The presence of both per-15-minute and per-diem billing suggests RHA runs high-volume, time-based group supports and full-day habilitation programs typical of Developmentally Disabled Services Day Training Agency taxonomy.

RHA is a major statewide competitor on several high-revenue codes: T2020 ranks #1 of 48 providers in-state (100th percentile; extreme outlier), T2021 ranks #3 of 199 (99th percentile; extreme outlier), and H2016 ranks #3 of 65 (97th percentile; notably above typical state volume). These rank/percentile positions indicate the provider is a dominant or leading participant in North Carolina for core waiver and community support services.

Beyond the top three, RHA shows additional pockets of dominance in related habilitation services: T2014 (Habilitation, prevocational, waiver; per diem) generates $12.2M and ranks #1 of 17 providers in-state (100th percentile), while H2015 (Comprehensive community support services, per 15 minutes) produced $5.8M and ranks #5 of 251 providers (98th percentile; extreme outlier). At the same time, several habilitation codes such as T2013 and T2012 fall into more typical state volume percentiles, indicating the provider’s strength is concentrated in particular program types.

Volume and unit-payment patterns reinforce a high-throughput, mid-rate reimbursement profile: T2021 accounts for 275.4K claims at $126 avg paid/claim, H2016 for 134.4K claims at $172 avg paid/claim, and T2020 for 152K claims at $148 avg paid/claim. These large claim counts combined with moderate per-claim payments are consistent with group- and day-program delivery models that rely on high utilization to generate total revenue.

The provider’s NPI was enumerated on 2007-02-22 (~19 years ago), indicating an established presence in the state market; that tenure is consistent with the high ranks and extreme outlier status on multiple long-running waiver codes. Longevity coupled with concentrated market share suggests RHA has built sustained program capacity across North Carolina waiver services.

Because a large share of revenue is tied to a few waiver/day-habilitation codes, RHA’s financial performance appears sensitive to state Medicaid policy, waiver eligibility, and rate changes for T2021, H2016, and T2020. Payers and analysts should view this provider as substantially exposed to shifts in waiver funding or time-unit reimbursement methodologies given the 68.5% top-3 revenue concentration.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	275,380	$130	$34.7M
H2016	Comprehensive community support services, per diem	134,400	$170	$23.1M
T2020	Day habilitation, waiver; per diem	152,020	$150	$22.5M
T2014	Habilitation, prevocational, waiver; per diem	89,890	$140	$12.2M
T2013	Habilitation, educational, waiver; per hour	55,040	$140	$7.9M
H2015	Comprehensive community support services, per 15 minutes	98,440	$60	$5.8M
T2016	Habilitation, residential, waiver; per diem	32,710	$150	$4.9M
T2012	Habilitation, educational; waiver, per diem	26,680	$140	$3.7M
H2025	Ongoing support to maintain employment, per 15 minutes	18,990	$70	$1.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	8,420	$70	$564.4K

Showing 1–10 of 12

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

Rha Health Services Nc, LLC — 6 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	55	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	3	70	28,040	$220	$8.2M
T2020	Day habilitation, waiver; per diem	1	50	22,570	$180	$6.2M
T2012	Habilitation, educational; waiver, per diem	42	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	3	200	25,740	$130	$4.6M
T2014	Habilitation, prevocational, waiver; per diem	1	20	16,540	$150	$4.2M
H2015	Comprehensive community support services, per 15 minutes	5	250	10,060	$130	$2.4M
T2016	Habilitation, residential, waiver; per diem	5	90	5,520	$190	$1.6M
H2025	Ongoing support to maintain employment, per 15 minutes	11	60	6,380	$120	$1.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	67	170	4,310	$80	$958.4K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Rha Health Services Nc, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mh Mission Hospital, Lllp	NC	General Acute Care Hospital	$0	$62.2M
Rha Health Services, Inc.	NC	Community/Behavioral Health Agency	$0	$30.1M
Daymark Recovery Services Inc	NC	Community/Behavioral Health Agency	$0	$17.5M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$16.4M
Rha Behavioral Health Nc LLC	NC	Community/Behavioral Health Agency	$0	$12.6M
Leslie Wessinger	NC	General Practice Dentistry	$0	$9M
F.i.r.s.t.	NC	Community/Behavioral Health Agency	$0	$8.7M
Coram Alternate Site Services, Inc.	NC	Home Infusion Agency	$0	$8.2M
Keystone Laboratories, Inc.	NC	Clinical Medical Laboratory	$435.4K	$4.1M
Genova Diagnostics Inc	NC	Clinical Medical Laboratory	$3.8M	$33.9K

Rha Health Services Nc, LLC — Billing Profile & Reimbursement Data

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Rha Health Services Nc, LLC — 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