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.

Advantage Behavioral Healthcare Inc. (NPI 1689750663)

Field	Value
Entity Type	Organization
Organization	Advantage Behavioral Healthcare Inc.
Address	732 Davis Avenue
City	Whiteville
State	NC
ZIP	28472
Taxonomy	Mental Health Counselor
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2013	Habilitation, educational, waiver; per hour	41,890	$190	$7.9M
H2022	Community-based wrap-around services, per diem	26,680	$250	$6.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	30,940	$80	$2.4M
H2012	Behavioral health day treatment, per hour	5,450	$180	$954.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	10,950	$80	$832.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,980	$220	$444K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	7,280	$50	$385.9K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	2,470	$70	$165.4K
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…	2,600	$50	$135.3K
H0032	Mental health service plan development by non-physician	390	$80	$31.7K

Showing 1–10 of 13

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

Advantage Behavioral Healthcare Inc. — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	72	190	29,090	$150	$9.1M
H2022	Community-based wrap-around services, per diem	29	220	3,330	$290	$3.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	37	140	17,630	$80	$1.8M
H2012	Behavioral health day treatment, per hour	39	90	4,080	$180	$1.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	141	170	4,310	$80	$958.4K
H0032	Mental health service plan development by non-physician	16	20	1,310	$420	$783.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	126	1,710	810	$80	$274.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	555	4,130	670	$50	$219.9K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	7	90	220	$220	$121K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	36	380	250	$80	$66.4K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Innovations	NC	Community/Behavioral Health Agency	$0	$73.8M
Carolinas Home Care Agency, Inc.	NC	Community/Behavioral Health Agency	$0	$45.9M
Columbus Regional Healthcare System	NC	General Acute Care Hospital	$0	$17.2M
Homecare Management Corporation	NC	Community/Behavioral Health Agency	$0	$16.8M
Interim Healthcare Of The Eastern Carolinas, Inc	NC	In Home Supportive Care Agency	$0	$10.9M
Rachel Tedesco	NC	Nurse Practitioner	$5.7M	$0
Jeffrey Coury	NC	Facial Plastic Surgery Physician	$508.5K	$0
Rene Bermudez	NC	MOHS-Micrographic Surgery Physician	$460.6K	$0
David Sutton	NC	Ophthalmology Physician	$437.5K	$6.7K
Columbus County Ems, Inc	NC	Land Ambulance	$327.6K	$110.8K

Advantage Behavioral Healthcare Inc. — Billing Profile & Reimbursement Data

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Advantage Behavioral Healthcare 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