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    OpenPayerNPI Medicare & MedicaidEaster Seals Ucp North Carolina & Virginia, Inc.
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    Easter Seals Ucp North Carolina & Virginia, Inc. — Billing Profile & Reimbursement Data

    NPI 1841352101 · Clinton, NC · Community/Behavioral Health Agency

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    Easter Seals Ucp North Carolina & Virginia, Inc. is a community/behavioral health agency provider located in Clinton, North Carolina. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEaster Seals Ucp North Carolina & Virginia, Inc.
    Address100 Loop St
    CityClinton
    StateNC
    ZIP28328
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedDecember 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$9.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2022Community-based wrap-around services, per diem13,390$270$3.6M
    H2033Multisystemic therapy for juveniles, per 15 minutes7,520$340$2.6M
    H0032Mental health service plan development by non-physician3,770$470$1.8M
    H2011Crisis intervention service, per 15 minutes2,580$330$840.8K
    90837In 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…8,460$80$643K
    T1017Targeted case management, each 15 minutes800$310$247.2K
    99214The 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…2,160$70$159.7K
    99213The 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…980$50$48.1K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.20$90$1.3K
    H0038Self‑help/peer services, per 15 minutes600$0$0

    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.

    Full comparison — all codes billed, vs. North Carolina median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2033Multisystemic therapy for juveniles, per 15 minutes5203,620$390$3.9M
    H2022Community-based wrap-around services, per diem562203,330$290$3.3M
    H0038Self‑help/peer services, per 15 minutes2493102,820$120$1.3M
    T1017Targeted case management, each 15 minutes1472201,700$150$1.3M
    H2011Crisis intervention service, per 15 minutes1860850$490$1.1M
    H0032Mental health service plan development by non-physician4201,310$420$783.1K
    90837In 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…1761,710810$80$274.5K
    99214The 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…1,5474,400960$60$271.3K
    99213The 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…1,7664,130670$50$219.9K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.75387070$90$28.9K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Easter Seals Ucp North Carolina & Virginia, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$58.3M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$29.3M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$28.2M
    Easter Seals Ucp North Carolina & Virgiinia, Inc.NCCommunity/Behavioral Health Agency$0$19.2M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCase Management Agency$0$15.1M
    Easter Seals Ucp North Carolina & Virgina, Inc.NCCommunity/Behavioral Health Agency$0$11.2M
    Easter Seals Ucp North Carolina & Virginia, Inc.NCCommunity/Behavioral Health Agency$0$8.3M
    Michael CullerNCPhysician Assistant$157.4K$0
    Christopher EdwardsNCClinical Social Worker$20.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Easter Seals Ucp North Carolina & Virginia, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clinton Medical Clinic, Inc.NCGeneral Practice Physician$0$17.3M
    Speech And Language Rehabilitation Services, Inc.NCSpeech-Language Pathologist$0$11.5M
    Wp-clinton Health Holdings, LLCNCAdult Care Home Facility$0$10.5M
    Sampson Regional Medical CenterNCGeneral Acute Care Hospital$0$9M
    County Of SampsonNCLand Ambulance$565.5K$2.4M
    Robert ReaganNCUrology Physician$438.9K$0
    Alexandria GlassNCDermatology Physician$303.5K$0
    Gordon McdevittNCDiagnostic Radiology Physician$210.9K$0
    Arthur ApolinarioNCFamily Medicine Physician$147.4K$0
    Jordan WattenburgerNCFamily Nurse Practitioner$129.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Easter Seals Ucp North Carolina & Virginia, Inc. — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina