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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoc Mccarthy
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    Roc Mccarthy — Billing Profile & Reimbursement Data

    NPI 1013031996 · Whiteville, NC · Urology Physician

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    Roc Mccarthy is a urology physician provider located in Whiteville, North Carolina. This profile covers 27 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRoc Mccarthy
    Address320 Jefferson St
    CityWhiteville
    StateNC
    ZIP28472
    TaxonomyUrology Physician
    NPI EnumeratedMarch 18, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$241.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…600$90$51.9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…250$170$42.1K
    55866The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…30$910$22.8K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…30$560$18.3K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg110$140$15.2K
    99213The 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…160$60$10K
    64561The provider, under imaging guidance, implants electrodes around nerves in the sacral region to reduce the pain along the path of the nerve.10$800$9.6K
    J9030BCG live intravesical instillation, 1 mg4,100$1$8.2K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…30$310$8.1K
    51720This is a common treatment for bladder cancer. It involves instilling an anticarcinogenic agent into the bladder through a catheter. The provider leaves the agent in the bladder for a period of time…110$70$7.3K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6459091010$2,830$48.1K
    J921768120120$130$20.9K
    992141,08818,060110$80$15.1K
    64561121020$670$13.5K
    52000328070$150$12.1K
    5586622010$730$11.6K
    5222461020$440$10.2K
    5260113020$550$8.8K
    523561811020$450$8.5K
    992154,8025,72040$110$7.7K

    Showing 1–10 of 27

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Roc Mccarthy, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory BorstadNCRheumatology Physician$1.6M$0
    Karrie GrearNCNeurology Physician$1.5M$0
    Jeffrey WarhaftigNCInternal Medicine Physician$694.2K$0
    Frank LichtenbergerNCAllergy & Immunology Physician$653.5K$0
    Dean KarrasNCInternal Medicine Physician$566.6K$0
    James AdamsNCFamily Medicine Physician$554.8K$0
    Darshan DaveNCInternal Medicine Physician$492.4K$0
    Charles AllenNCInternal Medicine Physician$475K$0
    Daniel DawsonNCFamily Medicine Physician$463.4K$0
    Justin MillerNCInternal Medicine Physician$457K$0

    Nearby Providers

    Other providers in the same ZIP code as Roc Mccarthy, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community InnovationsNCCommunity/Behavioral Health Agency$0$73.8M
    Carolinas Home Care Agency, Inc.NCCommunity/Behavioral Health Agency$0$45.9M
    Advantage Behavioral Healthcare Inc.NCMental Health Counselor$0$20.1M
    Columbus Regional Healthcare SystemNCGeneral Acute Care Hospital$0$17.2M
    Homecare Management CorporationNCCommunity/Behavioral Health Agency$0$16.8M
    Interim Healthcare Of The Eastern Carolinas, IncNCIn Home Supportive Care Agency$0$10.9M
    Rachel TedescoNCNurse Practitioner$5.7M$0
    Jeffrey CouryNCFacial Plastic Surgery Physician$508.5K$0
    Rene BermudezNCMOHS-Micrographic Surgery Physician$460.6K$0
    David SuttonNCOphthalmology Physician$437.5K$6.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Roc Mccarthy — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina