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.

Quest Provider Services LLC (NPI 1932367638)

Field	Value
Entity Type	Organization
Organization	Quest Provider Services LLC
Address	2329 E Wt Harris Blvd
City	Charlotte
State	NC
ZIP	28213
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 29, 2008

Payer Source	Total Paid
Medicaid	$55.6M
Medicare	$0

Key Findings

QUEST PROVIDER SERVICES LLC is effectively a Medicaid-focused provider: lifetime Medicaid revenue on file is $55.6M and there is no Medicare billing on file, so its commercial/Medicare exposure is minimal to none and its operations appear built around state Medicaid programs. This concentration means payer risk and reimbursement strategy will be dominated by North Carolina Medicaid rules and rates.

Revenue is highly concentrated in a small set of habilitation and behavior-treatment codes: the precomputed top three Medicaid codes (97153, T2013, T2021) account for 70.7% of the provider's total Medicaid revenue. Those three codes individually generate $25.5M (46.0%), $8M (14.4%), and $5.7M (10.3%) respectively, making a narrow set of services the primary revenue drivers.

The code mix points to an organization focused on applied behavior analysis (ABA) and habilitation/day habilitation services. 97153 (technician-delivered adaptive behavior treatment) and 97155 (qualified professional modifying treatment) plus T2013 (habilitation, per hour) and T2021 (day habilitation, per 15 minutes) indicate a programmatic mix of technician-delivered therapy, supervisory/qualified-professional interventions, and structured day-program habilitation. This suggests on-site or community-based service lines with both one-on-one ABA and group/day habilitation components.

97153 is the single largest revenue generator by both volume and price: 61.8K claims at $413 avg paid/claim produced $25.5M (46.0% of Medicaid revenue). That combination of high per-claim payment and very large claim count makes 97153 the organization’s operational and financial lever, so changes in utilization, supervision rules, or pricing for that code would have outsized impact on overall revenue.

State competitive standing varies by code: the provider ranks #8 of 88 for 97153 (92th percentile) and #7 of 84 for 97155 (93th percentile), indicating it is a leading statewide participant for those ABA-related services. By contrast it is a more modest but still meaningful participant on T2013 (rank #56 of 185, 70th percentile) and T2021 (rank #48 of 199, 76th percentile), which are labeled as typical volumes relative to in-state peers.

Beyond the top three, the provider bills a suite of community-support and day-program services (H2016 $4.7M, 8.5%; H2015 $2M, 3.6%; T2020 $1.7M, 3.1%; S5150 $1M, 1.8%), indicating a broader continuum of community support, day habilitation, and respite offerings alongside ABA. This breadth suggests the organization can serve multiple program types and payer-funded service categories within Medicaid waiver and community support frameworks.

Although several of the top codes show strong rank positions, the dataset characterizes many of those volumes as "typical, unremarkable volume for this code" (language attached to 97153, T2013, T2021, H2016, 97155 and others). In practice that means while the provider is a high-volume biller for some ABA services, its activity levels are generally within the expected statewide distribution rather than flagged as an extreme statistical outlier.

The provider has an established operational history: NPI enumerated 2008-05-29 (~18 years ago), which supports its ability to accumulate the reported Medicaid scale and to maintain relationships with state waiver and habilitation programs over a long tenure. That longevity aligns with the mix of long-term community support and habilitation services reflected in the billing profile.

Medicaid: Complete Services Breakdown

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

17 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…	61,820	$410	$25.5M
T2013	Habilitation, educational, waiver; per hour	54,540	$150	$8M
T2021	Day habilitation, waiver; per 15 minutes	46,390	$120	$5.7M
H2016	Comprehensive community support services, per diem	25,770	$180	$4.7M
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…	25,470	$170	$4.3M
H2015	Comprehensive community support services, per 15 minutes	24,520	$80	$2M
T2020	Day habilitation, waiver; per diem	11,080	$150	$1.7M
T2012	Habilitation, educational; waiver, per diem	9,700	$160	$1.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	15,320	$70	$1M
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…	2,030	$230	$471.8K

Showing 1–10 of 17

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

Quest Provider Services LLC — 0 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	56	190	29,090	$150	$9.1M
H2016	Comprehensive community support services, per diem	35	70	28,040	$220	$8.2M
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…	8	90	5,820	$310	$6.4M
T2020	Day habilitation, waiver; per diem	32	50	22,570	$180	$6.2M
T2012	Habilitation, educational; waiver, per diem	78	110	21,340	$180	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	48	200	25,740	$130	$4.6M
H2015	Comprehensive community support services, per 15 minutes	65	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.	1,438	1,450	23,320	$50	$2.3M
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…	7	80	2,260	$190	$1.4M
H2025	Ongoing support to maintain employment, per 15 minutes	47	60	6,380	$120	$1.3M

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Quest Provider Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mps Health Care	NC	Nursing Care Agency	$0	$20M
Rafael Rivera, Jr, Dds, PLLC	NC	Dentist	$0	$14.8M
Monarch	NC	Community/Behavioral Health Agency	$0	$13.2M
Lincare Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$10.6M
Aa Better Choice In-home Aide Services	NC	Home Health Agency	$0	$7.7M
Genesis Of Carolinas Home Care, LLC	NC	Home Health Agency	$0	$7.3M
Carolina Medical Lab Group Inc.	NC	Clinical Medical Laboratory	$1.3M	$2.5M
Southeast Pathology Consultants, Inc.	NC	Clinical Medical Laboratory	$71.3K	$292.1K
Omar Idlibi	NC	Anatomic Pathology Physician	$236K	$1.8K

Quest Provider Services LLC — Billing Profile & Reimbursement Data

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Quest Provider Services LLC — 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