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.

A Primary Choice (NPI 1770688343)

Field	Value
Entity Type	Organization
Organization	A Primary Choice
Address	4701 Fayetteville Rd
City	Lumberton
State	NC
ZIP	28358
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	September 14, 2006

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 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.	325,250	$50	$15.6M

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

A Primary Choice — 1 of 1 code 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

1 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.	8	1,450	23,320	$50	$2.3M

Nearby Providers

Other providers in the same ZIP code as A Primary Choice, 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
Charles Graham	NC	Personal Care Attendant	$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
Premier Behavioral Services Inc	NC	Community/Behavioral Health Agency	$0	$14.6M
Aaa Homecare	NC	Home Health Agency	$0	$12M

A Primary Choice — Billing Profile & Reimbursement Data

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A Primary Choice — Billing Profile & Reimbursement Data

Sign up for A Primary Choice — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References