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.

Sandhills Emergency Physicians PA (NPI 1003853409)

Field	Value
Entity Type	Organization
Organization	Sandhills Emergency Physicians PA
Address	155 Memorial Dr
City	Pinehurst
State	NC
ZIP	28374
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicaid	$21.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	128,970	$70	$9.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	92,720	$90	$8.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	78,250	$40	$3.1M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	53,130	$1	$159.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	490	$110	$55.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	250	$30	$7.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$70	$1.2K
99053	The provider renders overnight services at a 24 hour facility.	230	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	620	$0	$0
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	3,590	$0	$0

Showing 1–10 of 11

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

Sandhills Emergency Physicians PA — 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10	330	6,130	$130	$2.7M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	17	320	6,160	$120	$2.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	8	280	2,690	$130	$1.6M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	119	150	1,340	$80	$395.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	47	140	150	$120	$128.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	254	280	130	$90	$80.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	11	240	1,280	$1	$33.1K
99053	The provider renders overnight services at a 24 hour facility.	9	30	120	$1	$7.9K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	114	390	230	$1	$490
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	1	20	90	$0	$0

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Sandhills Emergency Physicians PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Firsthealth Of The Carolinas, Inc.	NC	General Acute Care Hospital	$0	$61.5M
Speech Connections, LLC	NC	Occupational Therapist	$0	$19.5M
Solas Health PLLC	NC	Anesthesiology Physician	$0	$13.4M
Ats Of North Carolina, LLC	NC	Methadone Clinic	$123.2K	$7.4M
Surgery Center Of Pinehurst, LLC	NC	Ambulatory Surgical Clinic/Center	$2M	$812.9K
Pinehurst Medical Clinic, Inc.	NC	Ambulatory Surgical Clinic/Center	$1.4M	$985.2K
Daniel Williams	NC	Orthopaedic Surgery of the Spine Physician	$1.2M	$0
Cedar Malone	NC	Dermatology Physician	$1.1M	$0
Sarah Vieta	NC	MOHS-Micrographic Surgery Physician	$792.3K	$0
Leah Hershman	NC	Vascular Surgery Physician	$543.2K	$0

Sandhills Emergency Physicians PA — Billing Profile & Reimbursement Data

Sign up for Sandhills Emergency Physicians PA — Billing Profile & Reimbursement Data policy alerts

Sandhills Emergency Physicians PA — Billing Profile & Reimbursement Data

Sign up for Sandhills Emergency Physicians PA — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References