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.

Waynesboro Family Clinic (NPI 1760417570)

Field	Value
Entity Type	Organization
Organization	Waynesboro Family Clinic
Address	1706 Wayne Memorial Dr
City	Goldsboro
State	NC
ZIP	27534
Taxonomy	Mental Health Counselor
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$32.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	64,380	$180	$11.5M
H2015	Comprehensive community support services, per 15 minutes	33,480	$200	$6.8M
H0038	Self‑help/peer services, per 15 minutes	30,710	$150	$4.6M
H2012	Behavioral health day treatment, per hour	12,780	$170	$2.1M
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…	28,740	$70	$2.1M
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…	32,920	$50	$1.5M
H2022	Community-based wrap-around services, per diem	4,570	$260	$1.2M
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…	9,110	$70	$592.4K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3,210	$180	$571.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,990	$100	$386.6K

Showing 1–10 of 36

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

Waynesboro Family Clinic — 3 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	7	120	15,180	$230	$5M
H2022	Community-based wrap-around services, per diem	98	220	3,330	$290	$3.3M
H2015	Comprehensive community support services, per 15 minutes	41	250	10,060	$130	$2.4M
H2012	Behavioral health day treatment, per hour	23	90	4,080	$180	$1.7M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	44	110	1,450	$110	$1.7M
H0038	Self‑help/peer services, per 15 minutes	27	310	2,820	$120	$1.3M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	124	360	1,830	$40	$819.8K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	35	80	1,020	$70	$669.6K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	137	150	860	$50	$586.6K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	25	160	270	$10	$316.7K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Waynesboro Family Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teresa Poole	NC	Clinical Psychologist	$10.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Goldsboro Pediatrics PA	NC	Pediatrics Physician	$0	$61.3M
Wayne Memorial Hospital Inc	NC	General Acute Care Hospital	$0	$37.8M
Crossroads Support Services, Inc	NC	Home Health Agency	$0	$13.5M
Simmons Early Intervention Therapy, LLC	NC	Developmental Therapist	$0	$12.9M
Howell Support Services	NC	Community/Behavioral Health Agency	$0	$11.5M
Clientfirst Of Nc, LLC	NC	Community/Behavioral Health Agency	$0	$10M
Personal Homecare Solutions, Inc.	NC	Personal Care Attendant	$0	$9.5M
Omni Family Of Services North Carolina Inc.	NC	Community/Behavioral Health Agency	$0	$8.5M
Goldsboro Emergency Medical Specialists, Inc.	NC	Emergency Medicine Physician	$0	$8.2M
Triangle Comprehensive Health Services, Inc	NC	Community/Behavioral Health Agency	$0	$8M

Waynesboro Family Clinic — Billing Profile & Reimbursement Data

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Waynesboro Family Clinic — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References