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.

Carolinas Home Care Agency, Inc. (NPI 1881728152)

Field	Value
Entity Type	Organization
Organization	Carolinas Home Care Agency, Inc.
Address	603 S Canal St
City	Whiteville
State	NC
ZIP	28472
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 16, 2007

Payer Source	Total Paid
Medicaid	$45.9M
Medicare	$0

Key Findings

CAROLINAS HOME CARE AGENCY, INC. operates as a Medicaid-focused community/behavioral health agency: all billed revenue on file is from Medicaid ($45.9M) and there are no Medicare claims reported. The absence of Medicare billing indicates the organization is effectively single-payer in scope on available records and primarily serves Medicaid populations and waiver programs in North Carolina.

Revenue is highly concentrated in a small set of Medicaid habilitation and day-service codes: the precomputed top three codes (T2021, T2013, H2016) together account for 74.6% of the provider’s total Medicaid revenue. This concentration shows the agency’s business model is centered on day habilitation, habilitation educational services, and comprehensive community support rather than a broad mix of Medicaid service lines.

T2021 (Day habilitation, waiver; per 15 minutes) is the single largest revenue driver with $14M (30.5% of Medicaid revenue) and substantial claim volume (85.5K claims); the provider ranks #15 of 199 in-state (93rd percentile). That ranking places the provider well above most peers in volume for this code and signals it is a major regional provider of day habilitation services.

T2013 (Habilitation, educational, waiver; per hour) is nearly equal in scale to T2021 with $13.7M (29.9% of Medicaid revenue) and 85.4K claims; ranking #33 of 185 in-state (83rd percentile) indicates a strong but slightly less dominant position compared with T2021. Together these two habilitation codes account for roughly 60% of Medicaid revenue and define the core service line for the agency.

H2016 (Comprehensive community support services, per diem) contributes $6.5M (14.1% of Medicaid revenue) and 18.4K claims, with a rank of #40 of 65 providers in-state (39th percentile). That percentile suggests the agency provides a meaningful but not leading volume of comprehensive community support relative to in-state peers, indicating specialization in habilitation/day services rather than broad leadership in community support.

Other Medicaid codes show supporting service lines: T2020 (day habilitation per diem) and T2033 (residential care, waiver) add $5M (11.0%) and $2.1M (4.6%) respectively, and smaller-volume personal care and attendant care codes (e.g., S5125, T1019, S5150) together fill out hands-on care offerings. The mix implies an operational footprint that combines center-based habilitation with some per-diem and residential waiver services and ancillary personal care.

Competitive standing across listed codes is mixed: the provider is a top-tier performer for T2021 (93rd percentile) and a strong regional player for T2013 (83rd percentile), while its positions for H2016, T2033, and several personal care codes sit in median to lower percentiles (ranging from the 24th to 64th percentiles). This pattern reflects market leadership in day habilitation but a more modest share in complementary service lines statewide.

The provider has long tenure in the NPI registry, enumerated on 2007-03-16 (~19 years ago), which supports continuity of operations and suggests the observed Medicaid revenue footprint is the result of an established regional presence rather than a recent entrant. Longevity combined with concentrated habilitation revenue points to an established specialty in waiver day services and related community 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
T2021	Day habilitation, waiver; per 15 minutes	85,450	$160	$14M
T2013	Habilitation, educational, waiver; per hour	85,380	$160	$13.7M
H2016	Comprehensive community support services, per diem	18,400	$350	$6.5M
T2020	Day habilitation, waiver; per diem	21,400	$240	$5M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	980	$2,160	$2.1M
S5125	Attendant care services; per 15 minutes	19,670	$80	$1.5M
H2015	Comprehensive community support services, per 15 minutes	16,660	$70	$1.1M
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.	15,050	$50	$677.3K
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…	380	$1,360	$520.7K
T2012	Habilitation, educational; waiver, per diem	2,120	$180	$388.3K

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

Carolinas Home Care Agency, Inc. — 0 of 11 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	33	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	40	70	28,040	$220	$8.2M
T2020	Day habilitation, waiver; per diem	25	50	22,570	$180	$6.2M
T2012	Habilitation, educational; waiver, per diem	96	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	15	200	25,740	$130	$4.6M
S5125	Attendant care services; per 15 minutes	179	400	15,030	$100	$3M
H2015	Comprehensive community support services, per 15 minutes	91	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.	862	1,450	23,320	$50	$2.3M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	14	20	5,970	$280	$2.1M
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…	63	80	2,380	$160	$1.8M

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Carolinas Home Care Agency, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Innovations	NC	Community/Behavioral Health Agency	$0	$73.8M
Advantage Behavioral Healthcare Inc.	NC	Mental Health Counselor	$0	$20.1M
Columbus Regional Healthcare System	NC	General Acute Care Hospital	$0	$17.2M
Homecare Management Corporation	NC	Community/Behavioral Health Agency	$0	$16.8M
Interim Healthcare Of The Eastern Carolinas, Inc	NC	In Home Supportive Care Agency	$0	$10.9M
Rachel Tedesco	NC	Nurse Practitioner	$5.7M	$0
Jeffrey Coury	NC	Facial Plastic Surgery Physician	$508.5K	$0
Rene Bermudez	NC	MOHS-Micrographic Surgery Physician	$460.6K	$0
David Sutton	NC	Ophthalmology Physician	$437.5K	$6.7K
Columbus County Ems, Inc	NC	Land Ambulance	$327.6K	$110.8K

Carolinas Home Care Agency, Inc. — Billing Profile & Reimbursement Data

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Carolinas Home Care Agency, 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