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.

Cnc-access Inc (NPI 1790801819)

Field	Value
Entity Type	Organization
Organization	Cnc-access Inc
Address	420 S Broadway St Ste 102
City	Forest City
State	NC
ZIP	28043
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 21, 2007

Payer Source	Total Paid
Medicaid	$78.7M
Medicare	$0

Key Findings

CNC-ACCESS INC is effectively a Medicaid-focused operation with no Medicare billing on file; its reported lifetime Medicare revenue is listed as none while total Medicaid revenue is $78.7M, indicating the organization operates as a single-payer (Medicaid) provider in practice. This positioning should frame competitive and utilization analyses around state Medicaid waivers and community-based service lines rather than fee-for-service Medicare markets.

Revenue is highly concentrated in a few service lines: the top three Medicaid codes (T2013, S5125, H0045) account for 91.7% of this provider's total Medicaid revenue. Those three codes alone sum to $50.6M (T2013), $16M (S5125), and $5.6M (H0045), demonstrating that the business model depends heavily on a small set of long-duration and recurring support services.

T2013 is the dominant revenue driver: 349.2K claims produced $50.6M in revenue (64.3% of the provider's Medicaid revenue), and CNC-ACCESS ranks #6 of 185 in-state for this code (97th percentile, described as an extreme outlier). This suggests the provider operates at very large scale for habilitation/waiver hourly services relative to state peers and likely delivers high-volume, ongoing habilitation supports under Medicaid waivers.

S5125 and H0045 are also major lines: S5125 generated 190.3K claims and $16M (20.3% of revenue) with a #5 of 399 state rank (99th percentile, extreme outlier), while H0045 generated 73.4K claims and $5.6M (7.1% of revenue) ranking #2 of 82 in-state (99th percentile, extreme outlier). Together these patterns mark CNC-ACCESS as a statewide leader for attendant care and non-home respite services and indicate operational capacity to deliver high volumes of short-interval and per-diem community supports.

Beyond the top three, the provider bills sizable volumes for S5150 (41.3K claims, $2.6M, 3.4% of Medicaid revenue; #10 of 168, 95th percentile) and H2015 (24.3K claims, $2.5M, 3.1% of revenue; #66 of 251, 74th percentile). These additional codes reinforce a service mix concentrated on unskilled respite and comprehensive community support services, although H2015 activity is more typical versus peers.

The claims volume profile underscores operational intensity: 349.2K claims for T2013, 190.3K claims for S5125, and 73.4K claims for H0045 point to continuous, high-frequency service delivery rather than episodic procedures. That claim-level scale aligns with per-hour and per-15-minute billing modalities common in waiver and long-term support programs, implying staffing and scheduling systems optimized for recurring in-community care.

Competitive standing in-state is pronounced for its top codes: multiple top-code ranks fall in the 97th–99th percentiles and are described as extreme outliers, indicating CNC-ACCESS is a major provider for these Medicaid services in North Carolina. For payers and network managers, this concentration makes CNC-ACCESS a key counterparty for capacity and cost discussions around habilitation, attendant care, and respite service lines.

CNC-ACCESS has an established presence: the NPI was enumerated on 2007-03-21 (~19 years ago), which suggests long tenure in the marketplace and the likelihood of durable relationships with state Medicaid waiver programs. When combined with the extreme-volume billing patterns, the longevity supports the interpretation of a stable, large-scale provider of Medicaid community and behavioral health supports.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2013	Habilitation, educational, waiver; per hour	349,220	$150	$50.6M
S5125	Attendant care services; per 15 minutes	190,330	$80	$16M
H0045	Respite care services, not in the home, per diem	73,430	$80	$5.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	41,270	$60	$2.6M
H2015	Comprehensive community support services, per 15 minutes	24,330	$100	$2.5M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	6,490	$140	$914.4K
T2012	Habilitation, educational; waiver, per diem	3,420	$90	$310.8K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	1,270	$120	$149.5K
H2023	Supported employment, per 15 minutes	460	$140	$62.2K
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	$30	$2.1K

Showing 1–10 of 11

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

Cnc-access Inc — 3 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	6	190	29,090	$150	$9.1M
T2012	Habilitation, educational; waiver, per diem	89	110	21,340	$180	$6.1M
S5125	Attendant care services; per 15 minutes	5	400	15,030	$100	$3M
H2015	Comprehensive community support services, per 15 minutes	66	250	10,060	$130	$2.4M
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.	1,442	1,450	23,320	$50	$2.3M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	29	80	2,380	$160	$1.8M
H0045	Respite care services, not in the home, per diem	2	80	4,450	$100	$993.7K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	85	120	2,780	$150	$966.8K
S5150	Unskilled respite care, not hospice; per 15 minutes	10	170	4,310	$80	$958.4K
H2023	Supported employment, per 15 minutes	51	70	1,950	$150	$679.8K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Cnc-access Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
K D Support Services / Kelly's Care	NC	Community/Behavioral Health Agency	$0	$24.8M
Rha Health Services Inc	NC	Community/Behavioral Health Agency	$0	$8.1M
Dlp Rutherford Physician Practices LLC	NC	Family Medicine Physician	$0	$7.7M
Seema Daigle	NC	Internal Medicine Physician	$211.4K	$0
Michael Waters	NC	Physical Therapist	$178.9K	$0
Amanda Hill	NC	Family Nurse Practitioner	$178.7K	$0
Gary Schafer	NC	Pulmonary Disease Physician	$137.9K	$0
Michael Melton	NC	Physical Therapist	$97.7K	$0
Stephen Melson	NC	Gastroenterology Physician	$84.5K	$0
Phillip Talbert	NC	Physician Assistant	$79.4K	$0

Cnc-access Inc — Billing Profile & Reimbursement Data

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Cnc-access 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

Nearby Providers

Frequently Asked Questions

References