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.

Carolina Therapeutic Services, Inc (NPI 1720247570)

Field	Value
Entity Type	Organization
Organization	Carolina Therapeutic Services, Inc
Address	1528 Union Rd
City	Gastonia
State	NC
ZIP	28054
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 6, 2008

Payer Source	Total Paid
Medicaid	$46.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while Medicaid revenue totals $46.7M, so the organization’s financial footprint is concentrated entirely in Medicaid-funded programs. The absence of Medicare activity indicates operations are focused on services typically covered by state Medicaid programs rather than Medicare populations or settings.

Revenue is highly concentrated in a very small number of codes: the precomputed top 3 Medicaid codes account for 87.1% of the provider’s Medicaid revenue, and a single code, S5145, contributes $33.4M (71.4% of total Medicaid revenue). That level of concentration means the provider’s Medicaid performance and negotiating leverage are driven overwhelmingly by funding and utilization for foster-care therapeutic per diem services.

S5145 (Foster care, therapeutic, child; per diem) dominates the business profile with 204.6K claims, $163 avg paid/claim, and $33.4M revenue (71.4%). The volume and per‑diem nature of this code indicate an operation structured around high-volume residential or placement-based therapeutic foster care for children, with significant daily-stay staffing, placement coordination, and per-diem billing workflows.

Complementing the foster-care revenue stream, the provider bills substantial psychosocial and care-planning services: H2017 (Psychosocial rehabilitation services, per 15 minutes) generated 35.1K claims, $151 avg paid/claim, and $5.3M revenue (11.4%), and H0032 (Mental health service plan development by non-physician) produced 2.9K claims, $707 avg paid/claim, and $2M revenue (4.3%). These codes reflect substantial outpatient/community-based rehabilitation and care‑plan development work that likely supports or augments the core foster-care placements rather than representing a broad primary-care or medical service mix.

Clinical psychotherapy and family therapy also appear across the billings: 90837 accounted for 17K claims and $1.7M revenue (3.7%), while family therapy codes 90847 and 90846 produced $501.8K (1.1%) and $459.2K (1.0%) respectively. Several of these psychotherapy and family therapy codes rank high in-state (90837 ranks #75 of 1709 providers, 96th percentile; 90847 ranks #12 of 378, 97th percentile; 90846 ranks #4 of 129, 98th percentile), indicating a notable clinical therapy footprint in addition to residential/foster care services.

On competitive standing, the provider is a dominant statewide player in foster-care therapeutic per diem services: S5145 ranks #2 of 63 providers in-state (98th percentile) and is labeled an extreme outlier, which signals far higher state volume for this code than typical peers. For other mid‑revenue codes the provider is generally an above-average to high-volume filer (e.g., H2017 ranks #26 of 142, 82th percentile; H0032 ranks #6 of 22, 76th percentile), meaning it is a recognizable but less singular presence outside its flagship foster‑care line.

There are multiple state-leading filings on niche codes: the provider ranks #1 for S9482 (Family stabilization services, per 15 minutes) among 5 providers (100th percentile) and #1 for S5145HA among 2 providers (100th percentile), while H0002 (Behavioral health screening) also ranks #1 of 8 providers (100th percentile) and is labeled notably above typical. State labels vary—S9482 is characterized as typical/unremarkable despite the #1 rank—so some of these top ranks reflect either concentrated specialty activity or small peer populations for specific codes.

The provider has an established tenure with NPI enumeration on 2008-06-06 (~18 years ago), which supports the interpretation of a long-standing Medicaid-focused operation with sustained contracts or relationships within the state system. Given the heavy reliance on a few Medicaid codes—particularly one code responsible for 71.4% of Medicaid revenue—payer analysts should view this entity as a specialized, long-tenured foster-care and behavioral health services provider whose financial and operational performance is highly sensitive to state Medicaid policy, rates, and utilization trends for those specific codes.

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5145	Foster care, therapeutic, child; per diem	204,620	$160	$33.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	35,100	$150	$5.3M
H0032	Mental health service plan development by non-physician	2,850	$710	$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…	16,990	$100	$1.7M
H2014	Skills training and development, per 15 minutes	8,600	$120	$1M
S9482	Family stabilization services, per 15 minutes	10,990	$60	$681.1K
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…	4,690	$110	$501.8K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	4,290	$110	$459.2K
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…	6,440	$70	$438.1K
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…	4,580	$60	$288.4K

Showing 1–10 of 28

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

Carolina Therapeutic Services, Inc — 8 of 25 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5145	Foster care, therapeutic, child; per diem	2	60	27,280	$160	$7.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	26	140	17,630	$80	$1.8M
H0045	Respite care services, not in the home, per diem	69	80	4,450	$100	$993.7K
S9482	Family stabilization services, per 15 minutes	1	10	2,800	$150	$792.7K
H0032	Mental health service plan development by non-physician	6	20	1,310	$420	$783.1K
H2014	Skills training and development, per 15 minutes	3	10	6,470	$100	$673.2K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	90	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…	75	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…	706	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…	1,462	4,130	670	$50	$219.9K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carolina Therapeutic Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolina Therapeutic Services, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$62.4M
Carolina Therapeutic Services, Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comprehab LLC	NC	Physical Therapist	$0	$129.7M
Hughes Behavioral And Mental Health Services Inc.	NC	Developmentally Disabled Services Day Training Agency	$0	$59.8M
Gaston Memorial Hospital, Incorporated	NC	General Acute Care Hospital	$0	$49.2M
Partners Behavioral Health Management	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$43.7M
Center For Emotional Health	NC	Addiction Psychiatry Physician	$0	$40.1M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$32.9M
Support Incorporated	NC	Community/Behavioral Health Agency	$0	$19.1M
Gastonia Physician Services, PLLC	NC	Emergency Medicine Physician	$0	$15.8M
Gaston Adolescent Center, Inc.	NC	Community/Behavioral Health Agency	$0	$14.4M
Touchpoint Healthcare Services Inc	NC	In Home Supportive Care Agency	$0	$11.1M

Carolina Therapeutic Services, Inc — Billing Profile & Reimbursement Data

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Carolina Therapeutic Services, Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References