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.

Community Companion Home Care, LLC (NPI 1720138712)

Field	Value
Entity Type	Organization
Organization	Community Companion Home Care, LLC
Address	49a State St
City	Marion
State	NC
ZIP	28752
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 11, 2007

Payer Source	Total Paid
Medicaid	$63.6M
Medicare	$0

Key Findings

COMMUNITY COMPANION HOME CARE, LLC operates as a Medicaid-focused Community/Behavioral Health Agency, with activity dominated by comprehensive community support and habilitation services. Its top Medicaid service lines are H2016 (Comprehensive community support services, per diem), T2021 (Day habilitation, waiver; per 15 minutes), and H2015 (Comprehensive community support services, per 15 minutes), with very large claim volumes of 134.6K, 119.5K, and 69.7K claims respectively, consistent with intensive, high-frequency community-based care delivery models.

The provider’s Medicaid revenue is concentrated in a very small set of services: the top three Medicaid codes account for 80.0% of its total Medicaid revenue. Those codes generate $26.8M (H2016, 42.1%), $16.4M (T2021, 25.7%), and $7.7M (H2015, 12.2%) of the $63.6M in lifetime Medicaid revenue, indicating reliance on a narrow set of per-diem and per-15-minute waiver services.

Payer mix is effectively single-payer: there is no Medicare billing on file while Medicaid accounts for $63.6M in lifetime revenue. This makes the organization a Medicaid-centric operator rather than a mixed Medicare/Medicaid provider, so revenue and utilization risk are concentrated in state Medicaid policy and waiver program dynamics.

On competitive standing within North Carolina the provider is a major participant for its highest-revenue codes. It ranks #2 of 65 for H2016 (98th percentile) and is described as notably above typical state volume for that code; it also ranks #9 of 199 for T2021 (96th percentile) and #12 of 251 for H2015 (96th percentile), marking it as a leading in-state provider for comprehensive community support and day habilitation services.

Although the top lines are dominant, several other habilitation codes show more typical in-state volumes, suggesting focused specialization rather than broad parity across all service types. For example, T2013 generated $4.3M (6.7%) with 30.2K claims and ranks #88 of 185 providers in-state (53th percentile, typical), while T2012 produced $4.1M (6.4%) with 21.2K claims and ranks #56 of 110 (50th percentile, typical).

A few niche codes show leadership despite smaller revenue; H2016HI produced $101.8K and the provider ranks #1 of 10 in-state (100th percentile), indicating dominance in that specific variant of comprehensive community support even though it contributes a small share of total revenue. Conversely, several residential and respite codes are mid-to-low statewide rank (for example T2020 $3.4M, 20.2K claims, rank #28 of 48, 43th percentile; T2016 $302.1K, rank #67 of 92, 27th percentile), reinforcing that the provider’s market strength is concentrated in selected outpatient/waiver habilitation services.

The organization’s NPI was enumerated on 2007-01-11 (~19 years ago), which signals long-tenured participation in Medicaid programs and suggests established operational capacity and payer relationships. That tenure, paired with high claim volumes in per-diem and per-15-minute codes, points to mature delivery infrastructure for community-based behavioral health and habilitation services.

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
H2016	Comprehensive community support services, per diem	134,630	$200	$26.8M
T2021	Day habilitation, waiver; per 15 minutes	119,530	$140	$16.4M
H2015	Comprehensive community support services, per 15 minutes	69,730	$110	$7.7M
T2013	Habilitation, educational, waiver; per hour	30,180	$140	$4.3M
T2012	Habilitation, educational; waiver, per diem	21,210	$190	$4.1M
T2020	Day habilitation, waiver; per diem	20,240	$170	$3.4M
T2016	Habilitation, residential, waiver; per diem	1,640	$180	$302.1K
S5150	Unskilled respite care, not hospice; per 15 minutes	3,450	$80	$283.1K
H2025	Ongoing support to maintain employment, per 15 minutes	1,410	$80	$112.6K
T2033	Residential care, not otherwise specified (nos), waiver; per diem	400	$280	$109.8K

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

Community Companion Home Care, LLC — 4 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	88	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	2	70	28,040	$220	$8.2M
T2020	Day habilitation, waiver; per diem	28	50	22,570	$180	$6.2M
T2012	Habilitation, educational; waiver, per diem	56	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	9	200	25,740	$130	$4.6M
H2015	Comprehensive community support services, per 15 minutes	12	250	10,060	$130	$2.4M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	17	20	5,970	$280	$2.1M
T2016	Habilitation, residential, waiver; per diem	67	90	5,520	$190	$1.6M
H2025	Ongoing support to maintain employment, per 15 minutes	46	60	6,380	$120	$1.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	90	170	4,310	$80	$958.4K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Community Companion Home Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Carolina Outreach Home Care LLC	NC	Community/Behavioral Health Agency	$0	$16.7M
Mountain Area Community Services	NC	Personal Care Attendant	$0	$10.3M
Strategic Interventions, LLC	NC	Community/Behavioral Health Agency	$0	$9.9M
Mh Mission Hospital Mcdowell, Lllp	NC	General Acute Care Hospital	$0	$7.6M
Mcdowell Assisted Living,llc	NC	Assisted Living Facility	$0	$7.1M
Mh Mission Hospital Mcdowell, Lllp	NC	Rural Health Clinic/Center	$0	$7.1M
Mcdowell County	NC	Ambulance	$687.7K	$2.1M
James Weegar	NC	Physician Assistant	$284.2K	$0
Eric Roslonski	NC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$148.7K	$0
Carl Dean	NC	Physical Therapist	$78K	$0

Community Companion Home Care, LLC — Billing Profile & Reimbursement Data

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Community Companion Home Care, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References