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.

Solid Foundation Facilities, Inc (NPI 1679779169)

Field	Value
Entity Type	Organization
Organization	Solid Foundation Facilities, Inc
Address	224 Ward Rd
City	Windsor
State	NC
ZIP	27983
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	June 22, 2007

Payer Source	Total Paid
Medicaid	$13.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	59,120	$140	$8.3M
T2013	Habilitation, educational, waiver; per hour	14,010	$200	$2.8M
T2020	Day habilitation, waiver; per diem	940	$1,070	$1M
T2016	Habilitation, residential, waiver; per diem	7,570	$130	$945.8K
H2015	Comprehensive community support services, per 15 minutes	13,480	$40	$498.8K
H0038	Self‑help/peer services, per 15 minutes	910	$10	$10K

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

Solid Foundation Facilities, Inc — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	130	190	29,090	$150	$9.1M
T2020	Day habilitation, waiver; per diem	42	50	22,570	$180	$6.2M
T2021	Day habilitation, waiver; per 15 minutes	30	200	25,740	$130	$4.6M
H2015	Comprehensive community support services, per 15 minutes	106	250	10,060	$130	$2.4M
T2016	Habilitation, residential, waiver; per diem	37	90	5,520	$190	$1.6M
H0038	Self‑help/peer services, per 15 minutes	229	310	2,820	$120	$1.3M

Nearby Providers

Other providers in the same ZIP code as Solid Foundation Facilities, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Home Staffing, Inc.	NC	In Home Supportive Care Agency	$0	$51M
Home Life Care Inc	NC	In Home Supportive Care Agency	$0	$12.8M
Bertie Ambulance Service Inc	NC	Land Ambulance	$998.3K	$5.9M
Coastal Medical Transport, Inc	NC	Land Ambulance	$878.7K	$2.5M
County Of Bertie	NC	Land Ambulance	$524.6K	$2.2M
White Oak Medical Transport	NC	Land Ambulance	$519.4K	$1.7M
Phillip Harris	NC	Family Medicine Physician	$32.5K	$0
Kareen Binion-brown	NC	Specialist	$24.8K	$0

Solid Foundation Facilities, Inc — Billing Profile & Reimbursement Data

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Solid Foundation Facilities, Inc — 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