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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEaster Seals Ucp North Carolina & Virgiinia, Inc.
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    Easter Seals Ucp North Carolina & Virgiinia, Inc. — Billing Profile & Reimbursement Data

    NPI 1871647503 · Wilmington, NC · Community/Behavioral Health Agency

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    Easter Seals Ucp North Carolina & Virgiinia, Inc. is a community/behavioral health agency provider located in Wilmington, North Carolina. This profile covers 0 Medicare and 9 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 & Virgiinia, Inc.
    Address1410 Commonwealth Dr Ste 103a
    CityWilmington
    StateNC
    ZIP28403
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJanuary 22, 2007

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

    Payer SourceTotal Paid
    Medicaid$19.2M
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5145Foster care, therapeutic, child; per diem63,590$150$9.7M
    H0045Respite care services, not in the home, per diem35,450$80$2.9M
    T2013Habilitation, educational, waiver; per hour16,350$150$2.5M
    H2023Supported employment, per 15 minutes19,220$80$1.6M
    T2012Habilitation, educational; waiver, per diem7,110$180$1.2M
    T1017Targeted case management, each 15 minutes1,870$300$565.3K
    H2026Ongoing support to maintain employment, per diem5,910$90$514.1K
    T1019Personal 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…1,080$220$232.6K
    S5150Unskilled respite care, not hospice; per 15 minutes50$160$7.9K

    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

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2013Habilitation, educational, waiver; per hour12219029,090$150$9.1M
    S5145Foster care, therapeutic, child; per diem186027,280$160$7.2M
    T2012Habilitation, educational; waiver, per diem8011021,340$180$6.1M
    T1019Personal 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…50802,380$160$1.8M
    T1017Targeted case management, each 15 minutes972201,700$150$1.3M
    H0045Respite care services, not in the home, per diem5804,450$100$993.7K
    S5150Unskilled respite care, not hospice; per 15 minutes1681704,310$80$958.4K
    H2023Supported employment, per 15 minutes4701,950$150$679.8K
    H2026Ongoing support to maintain employment, per diem13403,130$70$292.4K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Easter Seals Ucp North Carolina & Virgiinia, 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 & 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$9.9M
    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 & Virgiinia, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wilmington Medical Supply IncNCDurable Medical Equipment & Medical Supplies$0$47.8M
    A2z Home Medical Supplies, IncNCDurable Medical Equipment & Medical Supplies$0$47.4M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$33.8M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$28.3M
    Physician Alliance For Mental Health, LLCNCCommunity/Behavioral Health Agency$0$28M
    Bayada Home Health Care, Inc.NCDevelopmental Disabilities Clinic/Center$0$18M
    Therapy Works Of WilmingtonNCSpeech-Language Pathologist$0$12.2M
    Coastline Therapy Group, LLCNCSpeech-Language Pathologist$0$11.8M
    Pd Of Wilmington IncNCIn Home Supportive Care Agency$0$11.4M
    Knox Clinic PediatricsNCSpecialist$0$9.9M

    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
    7 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 & Virgiinia, Inc. — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina