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.

Yelvertons Enrichment Services Inc (NPI 1720136930)

Field	Value
Entity Type	Organization
Organization	Yelvertons Enrichment Services Inc
Address	4805 Green Rd Ste 103
City	Raleigh
State	NC
ZIP	27616
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 7, 2007

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	65,960	$250	$16.2M
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…	26,630	$90	$2.5M
H2015	Comprehensive community support services, per 15 minutes	10,900	$150	$1.7M
H2012	Behavioral health day treatment, per hour	9,860	$170	$1.6M
T1017	Targeted case management, each 15 minutes	2,430	$270	$665.3K
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	2,590	$230	$602.3K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	2,470	$220	$540.3K
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…	2,500	$50	$127.4K
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…	950	$80	$71K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	790	$70	$56.7K

Showing 1–10 of 16

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

Yelvertons Enrichment Services Inc — 3 of 15 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	5	220	3,330	$290	$3.3M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	10	20	2,940	$350	$3.3M
H2015	Comprehensive community support services, per 15 minutes	120	250	10,060	$130	$2.4M
H2012	Behavioral health day treatment, per hour	31	90	4,080	$180	$1.7M
T1017	Targeted case management, each 15 minutes	83	220	1,700	$150	$1.3M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	71	170	1,880	$90	$481.7K
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…	37	1,710	810	$80	$274.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,343	4,400	960	$60	$271.3K
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…	1,157	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	4	90	220	$220	$121K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mako Medical Laboratories, LLC	NC	Clinical Medical Laboratory	$11.2M	$97.9M
Michael Altenburg	NC	Neuroradiology Physician	$195.4K	$0
Joel Blass	NC	Internal Medicine Physician	$96.4K	$0
Jeffrey Handschumacher	NC	Optometrist	$12.1K	$78K
Jason Simpson	NC	Anesthesiology Physician	$17.5K	$0
Anthony Carden	NC	Anesthesiologist Assistant	$13.1K	$0
Tyrone Brown	NC	Certified Registered Nurse Anesthetist	$7.8K	$0
Marc Douek	NC	Physical Therapist	$860	$0

Yelvertons Enrichment Services Inc — Billing Profile & Reimbursement Data

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Yelvertons Enrichment Services 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