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.

Standards-based Solutions Behavioral Health Consulting (NPI 1932540465)

Field	Value
Entity Type	Organization
Organization	Standards-based Solutions Behavioral Health Consulting
Address	1301 E Franklin St
City	Chapel Hill
State	NC
ZIP	27514
Taxonomy	Mental Health Counselor
NPI Enumerated	July 12, 2013

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	66,490	$110	$7.5M
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…	5,620	$150	$831K

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

Standards-based Solutions Behavioral Health Consulting — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	30	80	2,380	$160	$1.8M
H0038	Self‑help/peer services, per 15 minutes	7	310	2,820	$120	$1.3M

Nearby Providers

Other providers in the same ZIP code as Standards-based Solutions Behavioral Health Consulting, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of North Carolina At Chapel Hill	NC	Anesthesiology Physician	$0	$87.6M
University Of North Carolina Hospitals At Chapel Hill	NC	General Acute Care Hospital	$0	$50.7M
Ari Isaacson	NC	Vascular & Interventional Radiology Physician	$2.8M	$0
James Bates	NC	Radiation Oncology Physician	$656.1K	$0
William Delgado	NC	MOHS-Micrographic Surgery Physician	$515.5K	$0
Bradley Merritt	NC	MOHS-Micrographic Surgery Physician	$354.7K	$0
Stephen Goldner	NC	Internal Medicine Physician	$254.7K	$0
Jonathan Pack	NC	Diagnostic Radiology Physician	$235.2K	$0
John Wood	NC	Ophthalmology Physician	$231.7K	$0
North Carolina Cvs Pharmacy LLC	NC	Pharmacy	$217.7K	$0

Standards-based Solutions Behavioral Health Consulting — Billing Profile & Reimbursement Data

Sign up for Standards-based Solutions Behavioral Health Consulting — Billing Profile & Reimbursement Data policy alerts

Standards-based Solutions Behavioral Health Consulting — Billing Profile & Reimbursement Data

Sign up for Standards-based Solutions Behavioral Health Consulting — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References