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.

Paradigm, Inc. (NPI 1689742751)

Field	Value
Entity Type	Organization
Organization	Paradigm, Inc.
Address	4001 Old Pactolus Rd # A
City	Greenville
State	NC
ZIP	27834
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 30, 2006

Payer Source	Total Paid
Medicaid	$37.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	35,680	$360	$12.8M
H2016	Comprehensive community support services, per diem	16,810	$610	$10.3M
T2021	Day habilitation, waiver; per 15 minutes	50,060	$170	$8.5M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	5,910	$470	$2.7M
H2015	Comprehensive community support services, per 15 minutes	26,430	$100	$2.6M
T2020	Day habilitation, waiver; per diem	800	$830	$664.1K
H0045	Respite care services, not in the home, per diem	460	$170	$76.8K
H2017	Psychosocial rehabilitation services, per 15 minutes	920	$40	$35K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	230	$10	$2.1K

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

Paradigm, Inc. — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2016	Comprehensive community support services, per diem	42	70	28,040	$220	$8.2M
T2020	Day habilitation, waiver; per diem	44	50	22,570	$180	$6.2M
T2021	Day habilitation, waiver; per 15 minutes	42	200	25,740	$130	$4.6M
H2015	Comprehensive community support services, per 15 minutes	58	250	10,060	$130	$2.4M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	10	20	5,970	$280	$2.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	131	140	17,630	$80	$1.8M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	8	80	2,380	$160	$1.8M
H0045	Respite care services, not in the home, per diem	68	80	4,450	$100	$993.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	298	620	210	$50	$63.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vidant Medical Group LLC	NC	Multi-Specialty Clinic/Center	$0	$78M
Pitt County Memorial Hospital, Inc	NC	General Acute Care Hospital	$0	$60.3M
Better Connections, Inc.	NC	Community/Behavioral Health Agency	$0	$25.4M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$25M
East Carolina University	NC	Pediatrics Physician	$0	$22.8M
Pitt County Memorial Hospital Inc	NC	Ambulance	$0	$15.6M
Pediatric Services Of America, LLC	NC	Nursing Care Agency	$0	$15.6M
Eastern Radiologists Inc	NC	Diagnostic Radiology Physician	$0	$14.3M
East Carolina University	NC	Obstetrics & Gynecology Physician	$0	$12.3M
Greenville Pediatric Services, Inc	NC	Pediatrics Physician	$0	$10.9M

Paradigm, Inc. — Billing Profile & Reimbursement Data

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Paradigm, 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