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.

Easter Seals Ucp North Carolina & Virginia, Inc. (NPI 1922146877)

Field	Value
Entity Type	Organization
Organization	Easter Seals Ucp North Carolina & Virginia, Inc.
Address	10510 Mallard Creek Road
City	Charlotte
State	NC
ZIP	28262
Taxonomy	Case Management Agency
NPI Enumerated	February 2, 2007

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

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
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	37,560	$290	$10.7M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	16,470	$160	$2.7M
0365T	Adaptive behavior tx addl	4,980	$140	$717K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	2,080	$150	$307.8K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	4,030	$60	$225.7K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	3,880	$50	$205.9K
0364T	Behavior treatment	4,840	$30	$125.9K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	620	$50	$29.8K
0369T	Duodenal mucosal resurfacing, endoscopic	210	$130	$27K
0368T	Behavior treatment modified additional	250	$50	$12.1K

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

Easter Seals Ucp North Carolina & Virginia, 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
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	12	90	5,820	$310	$6.4M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	11	80	2,260	$190	$1.4M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	387	520	2,870	$70	$721.7K
0365T	Adaptive behavior tx addl	3	10	3,990	$140	$567.1K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	57	170	1,880	$90	$481.7K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	10	40	580	$210	$309.6K
97152	A technician, supervised by a physician or other qualified healthcare professional, provides supporting assessment of a patient’s destructive behavior and behavioral problems by interacting directly…	18	30	110	$260	$173K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	11	70	1,020	$70	$152.1K
0369T	Duodenal mucosal resurfacing, endoscopic	9	10	550	$170	$142.8K
0364T	Behavior treatment	4	10	4,050	$30	$104.1K

Showing 1–10 of 11

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.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$58.3M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$29.3M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$28.2M
Easter Seals Ucp North Carolina & Virgiinia, Inc.	NC	Community/Behavioral Health Agency	$0	$19.2M
Easter Seals Ucp North Carolina & Virgina, Inc.	NC	Community/Behavioral Health Agency	$0	$11.2M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$9.9M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$8.3M
Michael Culler	NC	Physician Assistant	$157.4K	$0
Christopher Edwards	NC	Clinical 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.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acumen Of North Carolina, LLC	NC	In Home Supportive Care Agency	$0	$134.4M
Care Well Of Charlotte Inc	NC	In Home Supportive Care Agency	$0	$74.4M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$42.8M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$40.8M
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$38.2M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$37.5M
Valleygate Dental Surgery Center Of Charlotte LLC	NC	Ambulatory Surgical Clinic/Center	$0	$26.3M
Infinium Health Services LLC	NC	Nursing Care Agency	$0	$18.3M
Continuum Care Services, Inc.	NC	Community/Behavioral Health Agency	$0	$16.1M
Novant Health Medical Group, LLC	NC	Internal Medicine Physician	$0	$15.3M

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

Sign up for Easter Seals Ucp North Carolina & Virginia, Inc. — Billing Profile & Reimbursement Data policy alerts

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

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References