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.

Addus Healthcare (south Carolina), Inc. (NPI 1962547406)

Field	Value
Entity Type	Organization
Organization	Addus Healthcare (south Carolina), Inc.
Address	56 Boone Trl
City	North Wilkesboro
State	NC
ZIP	28659
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	February 21, 2007

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	46,670	$70	$3.4M
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.	9,690	$330	$3.2M
G9006	Coordinated care fee, home monitoring	2,550	$200	$515.7K
T2038	Community transition, waiver; per service	110	$1,040	$112.3K
S5110	Home care training, family; per 15 minutes	90	$190	$17.1K

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

Addus Healthcare (south Carolina), Inc. — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	985	1,450	23,320	$50	$2.3M
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…	4	80	2,380	$160	$1.8M
G9006	Coordinated care fee, home monitoring	1	10	2,550	$200	$516.6K
T2038	Community transition, waiver; per service	1	10	110	$1,040	$112.3K
S5110	Home care training, family; per 15 minutes	2	10	320	$60	$19.8K

Nearby Providers

Other providers in the same ZIP code as Addus Healthcare (south Carolina), Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Life Alliance, LLC	NC	Community/Behavioral Health Agency	$0	$38.2M
Wilkes Pediatric Clinic, PLLC	NC	Pediatrics Physician	$0	$14.2M
Ats Of North Carolina, LLC	NC	Methadone Clinic	$271.6K	$11.5M
Wrmc Hospital Operating Corporation	NC	General Acute Care Hospital	$0	$9.5M
Steven Anderson	NC	Orthopaedic Surgery Physician	$473.6K	$0
Tolulola Adeola	NC	Hospitalist Physician	$191K	$0
John Mclarney	NC	Diagnostic Radiology Physician	$152.9K	$0
Gregory Evans	NC	Diagnostic Radiology Physician	$135.5K	$0
Zbigniew Cichon	NC	Internal Medicine Physician	$109.7K	$14K
Courtney Prim	NC	Physician Assistant	$82.9K	$0

Addus Healthcare (south Carolina), Inc. — Billing Profile & Reimbursement Data

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Addus Healthcare (south Carolina), 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