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.

Inreach (NPI 1720187420)

Field	Value
Entity Type	Organization
Organization	Inreach
Address	4014 Monroe Rd Ste 170
City	Charlotte
State	NC
ZIP	28205
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicaid	$68.5M
Medicare	$0

Key Findings

INREACH is effectively a single-payer Medicaid provider: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $68.5M. The absence of Medicare billing means analyses should focus on Medicaid program participation, waiver services, and state-level competitive dynamics rather than cross-payer mix.

Revenue is highly concentrated in a few waiver and habilitation service lines: the precomputed top three Medicaid codes account for 76.6% of the provider's total Medicaid revenue, driven by T2012, T2013, and H2015. This concentration indicates that a small set of service types — habilitation per diem, habilitation per hour, and comprehensive community support — are the primary revenue drivers.

The code mix signals an operational focus on habilitation and community-based behavioral health supports: T2012 (126.1K claims; $173 avg paid/claim; $21.8M revenue), T2013 (157.7K claims; $135 avg paid/claim; $21.3M revenue), and H2015 (103.9K claims; $90 avg paid/claim; $9.3M revenue) are the largest contributors and correspond to waiver-based habilitation and 15-minute community support billing. High claim volumes and per-15-minute billing patterns suggest delivery models with frequent short-interval contacts (e.g., group or in-home supports, day habilitation segments) rather than episodic medical procedures.

INREACH shows strong competitive standing in several in-state codes: T2012 ranks #6 of 110 providers (95th percentile; notably above typical state volume) and H2015 ranks #3 of 251 providers (99th percentile; extreme outlier), indicating the organization is a major provider for those service types in North Carolina. T2013 is large in absolute dollars (157.7K claims; $21.3M) but ranks #15 of 185 providers (92th percentile; typical, unremarkable volume), which suggests high throughput but a more competitive field for hourly habilitation.

Beyond the top three, INREACH also generates material Medicaid revenue from related support services: S5150 (56.7K claims; $92 avg; $5.2M, 7.6% of total) and H2025 (39.2K claims; $117 avg; $4.6M, 6.7% of total) indicate meaningful lines in unskilled respite and employment support. Both codes rank in high state percentiles (S5150 #7 of 168, 96th percentile; H2025 #3 of 55, 96th percentile), reinforcing that the provider’s footprint extends across multiple community support service categories rather than a single isolated code.

The provider’s tenure is long enough to indicate established operations: NPI enumerated 2006-09-21 (~20 years ago), which supports the hypothesis that current high-volume billing patterns reflect sustained programmatic focus and not a recent shift into these service lines. Longevity combined with top-state rankings for several codes suggests institutional relationships with waiver programs and payers.

The high concentration (76.6% of Medicaid revenue in the top three codes) creates financial sensitivity to state policy or rate changes impacting those specific waiver and community-support codes. Any regulatory or reimbursement adjustments to T2012, T2013, or H2015 could materially affect INREACH’s revenue profile, making it strategically important for partners and payers to monitor legislative and Medicaid waiver developments.

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
T2012	Habilitation, educational; waiver, per diem	126,110	$170	$21.8M
T2013	Habilitation, educational, waiver; per hour	157,700	$140	$21.3M
H2015	Comprehensive community support services, per 15 minutes	103,890	$90	$9.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	56,650	$90	$5.2M
H2025	Ongoing support to maintain employment, per 15 minutes	39,160	$120	$4.6M
T2016	Habilitation, residential, waiver; per diem	12,650	$160	$2M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	11,510	$150	$1.8M
H0045	Respite care services, not in the home, per diem	10,230	$90	$900.3K
H2026	Ongoing support to maintain employment, per diem	5,970	$80	$501.3K
T1017	Targeted case management, each 15 minutes	1,870	$250	$466.3K

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

Inreach — 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	15	190	29,090	$150	$9.1M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	9	10	130	$90	$6.9M
T2012	Habilitation, educational; waiver, per diem	6	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	167	200	25,740	$130	$4.6M
H2015	Comprehensive community support services, per 15 minutes	3	250	10,060	$130	$2.4M
T2016	Habilitation, residential, waiver; per diem	23	90	5,520	$190	$1.6M
H2025	Ongoing support to maintain employment, per 15 minutes	3	60	6,380	$120	$1.3M
T1017	Targeted case management, each 15 minutes	98	220	1,700	$150	$1.3M
H0045	Respite care services, not in the home, per diem	23	80	4,450	$100	$993.7K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	19	120	2,780	$150	$966.8K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bethel Homecare Inc	NC	Home Health Agency	$0	$18.7M
R. Corey Snow, Dmd And Jason K. Snow, Dds, PLLC	NC	Pediatric Dentistry	$0	$10M
Ally Home Care Charlotte LLC	NC	In Home Supportive Care Agency	$0	$9.8M
Charlotte Opco Holdings, LLC	NC	Adult Care Home Facility	$0	$9.3M
Melody Care, LLC	NC	In Home Supportive Care Agency	$0	$8.6M
Wp-charlotte Health Holdings, LLC	NC	Adult Care Home Facility	$0	$7.8M
Tomas Guerrero Nunez	NC	Nephrology Physician	$193.6K	$0
Joel Bruce	NC	Nephrology Physician	$132.4K	$0
Anjali Singla	NC	Nephrology Physician	$122.5K	$0
Jenna Persky	NC	Nurse Practitioner	$78.5K	$0

Inreach — Billing Profile & Reimbursement Data

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Inreach — 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