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.

Bethany Medical Center (NPI 1003382839)

Bethany Medical Center is a family medicine physician provider located in Greensboro, North Carolina. This profile covers 0 Medicare and 116 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Bethany Medical Center
Address	3801 W Market St
City	Greensboro
State	NC
ZIP	27407
Taxonomy	Family Medicine Physician
NPI Enumerated	October 19, 2018

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

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

116 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	46,860	$50	$2.5M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	21,900	$70	$1.4M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	8,260	$100	$850.8K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	8,840	$70	$574.9K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	54,970	$10	$384.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	8,720	$40	$331.2K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	3,570	$40	$149.9K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	3,620	$30	$108.7K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	12,850	$10	$90K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	7,000	$10	$77K

Showing 1–10 of 116

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

Bethany Medical Center — 4 of 25 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

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	121	160	840	$70	$2.3M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	38	360	1,830	$40	$819.8K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	12	80	1,020	$70	$669.6K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	16	150	860	$50	$586.6K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	595	2,850	10,910	$10	$330.3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	26	160	270	$10	$316.7K
86769	The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease…	12	30	530	$40	$316.7K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	17	50	380	$10	$302.3K
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…	54	4,400	960	$60	$271.3K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	86	90	320	$160	$262.5K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bethany Medical Center	NC	Internal Medicine Physician	$0	$18.3M
Keshavpal Reddy	NC	Psychiatry Physician	$146.2K	$617K
Moogali Arvind	NC	Internal Medicine Physician	$218.9K	$0
Karla Smith	NC	Family Medicine Physician	$114K	$0
Donald Bulla	NC	Physician Assistant	$96.6K	$0
Ryan Miller	NC	Physician Assistant	$92.4K	$0
Courtney Prim	NC	Physician Assistant	$82.9K	$0
Davonia Michael	NC	Anatomic Pathology & Clinical Pathology Physician	$82.2K	$0
Rachel Mccoy	NC	Pain Medicine Physician	$82K	$0
Fernando Sanchez-brugal	NC	Internal Medicine Physician	$74.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wescare Professional Services, LLC.	NC	Developmentally Disabled Services Day Training Agency	$0	$37.9M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$32.9M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$19.3M
Big Wheel Transportation, Inc	NC	Non-emergency Medical Transport (VAN)	$0	$17.9M
Step By Step Care, Inc.	NC	Community/Behavioral Health Agency	$0	$13.5M
Crystal E. Nickerson	NC	Community/Behavioral Health Agency	$0	$11.8M
Psychotherapeutic Services, Inc	NC	Community/Behavioral Health Agency	$0	$10.5M
Greensboro Health Holdings, LLC	NC	Adult Care Home Facility	$0	$10.1M
Peace Zone Home Care, Inc	NC	In Home Supportive Care Agency	$0	$9.9M
Strategic Interventions, LLC	NC	Community/Behavioral Health Agency	$0	$9.5M

Bethany Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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