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 1942362884)

Field	Value
Entity Type	Organization
Organization	Easter Seals Ucp North Carolina & Virginia, Inc.
Address	913 N Carolina Ave
City	Statesville
State	NC
ZIP	28677
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 15, 2006

Payer Source	Total Paid
Medicaid	$10.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	24,650	$260	$6.4M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	13,700	$90	$1.2M
H2022	Community-based wrap-around services, per diem	3,220	$250	$810.4K
H2015	Comprehensive community support services, per 15 minutes	3,850	$140	$546.7K
H0038	Self‑help/peer services, per 15 minutes	5,430	$100	$543.3K
H0032	Mental health service plan development by non-physician	3,990	$100	$411K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	3,730	$90	$324.7K
T1017	Targeted case management, each 15 minutes	630	$260	$165K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,880	$50	$93.8K
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…	210	$190	$40.7K

Showing 1–10 of 19

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. — 1 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	183	190	29,090	$150	$9.1M
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…	85	90	5,820	$310	$6.4M
H0040	Assertive community treatment program, per diem	48	120	15,180	$230	$5M
H2022	Community-based wrap-around services, per diem	112	220	3,330	$290	$3.3M
H2015	Comprehensive community support services, per 15 minutes	175	250	10,060	$130	$2.4M
H0038	Self‑help/peer services, per 15 minutes	113	310	2,820	$120	$1.3M
T1017	Targeted case management, each 15 minutes	159	220	1,700	$150	$1.3M
H0032	Mental health service plan development by non-physician	3	20	1,310	$420	$783.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	93	1,710	810	$80	$274.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,103	4,400	960	$60	$271.3K

Showing 1–10 of 19

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
Wake Forest Emergency Providers	NC	Multi-Specialty Clinic/Center	$0	$48.7M
Barium Springs Home For Children	NC	Foster Care Agency	$0	$19.3M
Iredell Memorial Hospital, Incorporated	NC	General Acute Care Hospital	$0	$12.7M
Strategic Interventions, LLC	NC	Community/Behavioral Health Agency	$0	$7.9M
County Of Iredell	NC	Land Ambulance	$2M	$4.9M
Duncan Mccall	NC	Rheumatology Physician	$478.2K	$0
Naveed Rajper	NC	Interventional Cardiology Physician	$231K	$5.9K
Ashma Davidson	NC	Primary Podiatric Medicine Podiatrist	$235K	$0
Jips Zachariah	NC	Interventional Cardiology Physician	$219.7K	$0
William White	NC	Internal Medicine Physician	$192.4K	$0

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

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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

Nearby Providers

Frequently Asked Questions

References