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.

B & D Integrated Health Services (NPI 1952437790)

Field	Value
Entity Type	Organization
Organization	B & D Integrated Health Services
Address	249 E Nc Highway 54 Ste 320
City	Durham
State	NC
ZIP	27713
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 26, 2007

Payer Source	Total Paid
Medicaid	$48.8M
Medicare	$0

Key Findings

B & D INTEGRATED HEALTH SERVICES is effectively a Medicaid-focused provider with no Medicare billing on file and $48.8M in lifetime Medicaid revenue, indicating a single-payer operational footprint in this dataset rather than a mixed Medicare/Medicaid practice. The absence of Medicare claims means analyses of this entity should treat Medicaid as the primary revenue source and payer risk driver.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 79.0% of the provider's total Medicaid revenue, showing that a few programmatic service lines drive the bulk of receipts. Those three codes are H2022 ($14.7M, 58.9K claims), H2015 ($13M, 55.6K claims), and H0040 ($10.9M, 61K claims), so changes in reimbursement or utilization for these services would materially affect overall revenue.

The code mix points to intensive community behavioral-health operations rather than traditional primary-care billing: large volumes and revenues in H2022 (Community-based wrap-around services, per diem), H2015 (Comprehensive community support services, per 15 minutes), and H0040 (Assertive community treatment program, per diem) indicate the organization operates wrap-around and ACT-style programs and bills heavily for per-diem and per-15-minute service modalities. Ancillary codes such as H0038 (Self-help/peer services) and H0015 (intensive outpatient for substance use) further support a programmatic focus on behavioral health and substance-use treatment.

Competitive standing in-state is strong for several behavioral health codes: H2022 ranks #8 of 216 providers and is characterized as 97th percentile, "notably above typical state volume for this code," while H0040 also ranks #8 of 119 providers and is 94th percentile, "notably above typical state volume." These placements indicate B & D is a major provider of wrap-around and ACT services within North Carolina.

Not all high-revenue codes are marked as exceptional statewide: H2015 generates $13M and 55.6K claims but is described as 92th percentile and "typical, unremarkable volume for this code," suggesting the provider’s deployment of comprehensive community support services, while large in absolute dollars, sits within a competitive in-state field rather than being uniquely dominant. Similarly, H0015 ($2.4M, 18.5K claims) ranks #6 of 111 and is labeled "typical, unremarkable volume," indicating some service lines are material but not outliers.

Operational scale is reflected in claim volumes across several codes: H0038 shows 62.2K claims for $7.2M revenue and H0040 shows 61K claims for $10.9M revenue, pointing to sustained, high-throughput delivery of peer and ACT services. High claim counts combined with per-diem and per-15-minute billing patterns are consistent with continuous-care and team-based service models typical of community behavioral health providers.

There are data irregularities that merit attention for downstream analysis: H0036 (Community psychiatric supportive treatment, per 15 minutes) is reported with 3.9K claims but a $0 avg paid/claim and $0 revenue, which suggests encounters were recorded without associated Medicaid payments in this dataset or were submitted in a manner that produced no paid amount; analysts should flag this for coding/payment reconciliation review rather than assuming clinical activity was absent.

The provider has long-standing enrollment: the NPI was enumerated on 2007-02-26 (~19 years ago), indicating sustained presence in the market. Given the combination of tenure, concentrated Medicaid revenue ($48.8M), and high state rankings on key behavioral-health codes, B & D appears to be an established, program-oriented FQHC with significant statewide presence in intensive community behavioral health services.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	58,880	$250	$14.7M
H2015	Comprehensive community support services, per 15 minutes	55,620	$230	$13M
H0040	Assertive community treatment program, per diem	60,990	$180	$10.9M
H0038	Self‑help/peer services, per 15 minutes	62,250	$120	$7.2M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	18,550	$130	$2.4M
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	1,770	$230	$407.6K
T1017	Targeted case management, each 15 minutes	650	$300	$196.3K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3,900	$0	$0

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

B & D Integrated Health Services — 3 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0040	Assertive community treatment program, per diem	8	120	15,180	$230	$5M
H2022	Community-based wrap-around services, per diem	8	220	3,330	$290	$3.3M
H2015	Comprehensive community support services, per 15 minutes	20	250	10,060	$130	$2.4M
H0038	Self‑help/peer services, per 15 minutes	10	310	2,820	$120	$1.3M
T1017	Targeted case management, each 15 minutes	157	220	1,700	$150	$1.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6	110	1,070	$130	$628.2K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	58	170	1,880	$90	$481.7K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	10	90	220	$220	$121K

Nearby Providers

Other providers in the same ZIP code as B & D Integrated Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolina Center For Autism Services, LLC	NC	Behavior Analyst	$0	$41M
Upward Change Health Services, LLC	NC	Community/Behavioral Health Agency	$0	$18.9M
Amy C. Davidian, Dds, PA	NC	Pediatric Dentistry	$0	$15.4M
Community Care Service LLC	NC	Community/Behavioral Health Agency	$0	$11.5M
Carolina Community Support Services, Inc.	NC	Community/Behavioral Health Agency	$0	$11.1M
Med-el Corporation	NC	Durable Medical Equipment & Medical Supplies	$3.2M	$6.4M
B & D Integrated Health Services	NC	Family Medicine Physician	$0	$8.9M
Kc Care Management,inc.	NC	Adult Care Home Facility	$0	$8.3M
Greg J. Perentis Dds. PLLC	NC	Dentist	$0	$8.1M
Nuangels Home Care	NC	In Home Supportive Care Agency	$0	$7.1M

B & D Integrated Health Services — Billing Profile & Reimbursement Data

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B & D Integrated Health Services — 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