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.

Charles Graham (NPI 1750420618)

Field	Value
Entity Type	Individual
Organization	Charles Graham
Address	4820 Fayetteville Rd
City	Lumberton
State	NC
ZIP	28358
Taxonomy	Personal Care Attendant
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$23.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	196,140	$100	$19.4M
T2013	Habilitation, educational, waiver; per hour	23,160	$130	$3.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	12,270	$50	$650.2K
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…	3,260	$70	$231.5K
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	4,120	$40	$168.9K
A4554	Disposable underpads, all sizes	3,730	$40	$138.1K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	1,330	$70	$91.9K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2,290	$20	$43.5K
T2021	Day habilitation, waiver; per 15 minutes	170	$150	$25.1K
A4927	Gloves, non-sterile, per 100	1,360	$10	$19.1K

Showing 1–10 of 14

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

Charles Graham — 1 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	108	190	29,090	$150	$9.1M
T2021	Day habilitation, waiver; per 15 minutes	196	200	25,740	$130	$4.6M
S5125	Attendant care services; per 15 minutes	4	400	15,030	$100	$3M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1,156	1,450	23,320	$50	$2.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	46	170	4,310	$80	$958.4K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	30	60	530	$50	$669.2K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	111	130	610	$110	$637.1K
T2025	Waiver services; not otherwise specified (nos)	65	80	1,420	$170	$562K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	93	110	480	$110	$515K
A4554	Disposable underpads, all sizes	60	200	1,300	$40	$493.2K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Health Choice, Inc.	NC	Community/Behavioral Health Agency	$0	$93.3M
Children's Health Of Carolina, PA	NC	Pediatrics Physician	$0	$90.4M
A Primary Choice, Inc.	NC	In Home Supportive Care Agency	$0	$71.2M
Southeastern Regional Medical Center	NC	General Acute Care Hospital	$0	$28.8M
Southeastern Integrated Care	NC	Family Medicine Physician	$0	$23.9M
Speech Solutions Inc	NC	Speech-Language Pathologist	$0	$19.2M
Stephens Outreach Center, Inc	NC	Community/Behavioral Health Agency	$0	$17.4M
A Primary Choice	NC	In Home Supportive Care Agency	$0	$15.6M
Premier Behavioral Services Inc	NC	Community/Behavioral Health Agency	$0	$14.6M
Aaa Homecare	NC	Home Health Agency	$0	$12M

Charles Graham — Billing Profile & Reimbursement Data

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Charles Graham — 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