Area Insights
Therapy practice market data for North Carolina 28366
ZIP 28366 in North Carolina scores 65 out of 100 (Moderate Opportunity) for starting or growing a therapy practice. The area has 3,769 residents, 94% of them insured, and 1 registered therapists. Medicare pays $164.08 for a 60-minute therapy session here.
Opportunity score
65/100
Population
3,769
Median income
$53,310
Insured residents
93.5%
Therapists
1
Therapists per 10K
2.7
Medicare 90837
$164.08
HPSA status
Designated
The Practice Opportunity Score weighs market demand, provider supply, Medicare reimbursement, and shortage-area incentives. It assumes a Master's-level credential; adjust the credential in the interactive report.
Who insures the people in 28366?
Of 3,769 residents in 28366, 36.5% hold employer-based coverage, 19.3% are covered by Medicaid, 20.4% by Medicare, 7.3% buy marketplace plans, and 6.5% are uninsured. Payer mix decides what a practice actually collects, so credential where the coverage is.
| Employer-based | 36.5% |
| Medicaid | 19.3% |
| Medicare | 20.4% |
| Marketplace | 7.3% |
| Uninsured | 6.5% |
How many therapists already practice in 28366?
The National Plan and Provider Enumeration System (NPPES) lists 1 behavioral health providers in 28366: 1 therapists, 0 psychologists, and 0 psychiatrists. That is 2.7 therapists per 10,000 residents, which reads as balanced supply for a market this size.
What does Medicare pay for therapy in 28366?
Medicare's Physician Fee Schedule for the NORTH CAROLINA locality pays $164.08 for a 60-minute psychotherapy session (CPT code 90837), $111.80 for a 45-minute session (90834), and $170.13 for an initial diagnostic evaluation (90791).
| CPT code | Session type | Medicare rate |
|---|---|---|
| 90791 | Initial diagnostic evaluation | $170.13 |
| 90834 | 45-minute psychotherapy | $111.80 |
| 90837 | 60-minute psychotherapy | $164.08 |
| 90847 | Family therapy (patient present) | $108.42 |
| 90853 | Group psychotherapy | $29.76 |
Is 28366 a federal shortage area?
A Health Professional Shortage Area (HPSA) is a federal designation for areas with too few mental health providers. Practicing in one can qualify clinicians for a 10% Medicare bonus and loan repayment programs. 28366 carries a ZIP-confirmed mental health designation with a HPSA score of 18 out of 25, so those incentives apply here.
Nearby ZIPs that score higher
Go deeper on 28366
The interactive report adds carrier rankings, demographics, credential-adjusted rates, and a playbook for this market. And if the market looks good, Aria runs eligibility checks and billing follow-up for practices like the ones serving 28366.
Sources: U.S. Census Bureau American Community Survey (ACS) 2024 5-year estimates, the National Plan and Provider Enumeration System (NPPES) provider registry, Health Resources and Services Administration (HRSA) shortage designations, and the Centers for Medicare and Medicaid Services (CMS) Physician Fee Schedule. Last refreshed 2026-02-14T23:24:55.398Z.