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.

Magnolia Gardens (NPI 1760677413)

Field	Value
Entity Type	Organization
Organization	Magnolia Gardens
Address	594 Murray Hill Rd
City	Southern Pines
State	NC
ZIP	28387
Taxonomy	Assisted Living Facility
NPI Enumerated	September 6, 2007

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	60,120	$140	$8.3M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	180	$10	$1.8K

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

Magnolia Gardens — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	377	1,450	23,320	$50	$2.3M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	69	90	710	$60	$766.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandhills Pediatrics	NC	Pediatrics Physician	$0	$32.8M
Integrated Pain Solutions PLLC	NC	Interventional Pain Medicine Physician	$0	$12.7M
The Eye Surgery Center Of The Carolinas LP	NC	Ambulatory Surgical Clinic/Center	$3.1M	$813.9K
Arghavan Almony	NC	Ophthalmology Physician	$3.9M	$0
Zeina Haddad	NC	Ophthalmology Physician	$2.7M	$0
Kendall Wannamaker	NC	Ophthalmology Physician	$2.7M	$0
Brooks Mays	NC	Endocrinology, Diabetes & Metabolism Physician	$569.7K	$0
John French	NC	Ophthalmology Physician	$453.7K	$0
Michol Stanzione	NC	Internal Medicine Physician	$433.8K	$0
Tarra Millender	NC	Ophthalmology Physician	$391.9K	$0

Magnolia Gardens — Billing Profile & Reimbursement Data

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Magnolia Gardens — 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