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.

Total Home Care Inc (NPI 1699709626)

Field	Value
Entity Type	Organization
Organization	Total Home Care Inc
Address	208 W Fleming Dr Ste B
City	Morganton
State	NC
ZIP	28655
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$10.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	36,470	$150	$5.6M
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	15,400	$80	$1.3M
A4554	Disposable underpads, all sizes	14,970	$40	$658.7K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	4,570	$110	$511.8K
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	5,620	$90	$500.4K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	3,780	$100	$385.1K
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	2,900	$130	$373.8K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	2,750	$100	$283K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	2,650	$110	$280.4K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	1,680	$120	$197.9K

Showing 1–10 of 20

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

Total Home Care Inc — 3 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	7	20	1,420	$110	$2.3M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	7	40	410	$110	$1.6M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	20	130	610	$110	$637.1K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	17	110	480	$110	$515K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	141	160	6,970	$40	$504.9K
A4554	Disposable underpads, all sizes	14	200	1,300	$40	$493.2K
A4927	Gloves, non-sterile, per 100	27	150	1,490	$30	$389.7K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	10	40	590	$100	$290.2K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	1	70	610	$130	$243.7K
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	4	20	1,160	$110	$229.7K

Showing 1–10 of 20

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain View Pediatrics PA	NC	Pediatrics Physician	$0	$22.4M
Blue Ridge Healthcare Hospitals, Inc.	NC	General Acute Care Hospital	$0	$20.1M
A Caring Alternative, LLC	NC	Community/Behavioral Health Agency	$0	$19.7M
One Love Periodic Services Inc	NC	Community/Behavioral Health Agency	$0	$16.8M
Catawba Valley Medical Services	NC	In Home Supportive Care Agency	$0	$11.9M
Strategic Interventions, LLC	NC	Community/Behavioral Health Agency	$0	$9.7M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$9.1M
A Caring Alternative, LLC	NC	Community/Behavioral Health Agency	$0	$7.9M
S. Ross Penland, Dmd, Pa-morganton, P.L.L.C	NC	General Practice Dentistry	$0	$7.2M
County Of Burke	NC	Land Ambulance	$1.1M	$2.9M

Total Home Care Inc — Billing Profile & Reimbursement Data

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Total Home Care 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