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.

Wake Emergency Physicians PA (NPI 1033770292)

Field	Value
Entity Type	Organization
Organization	Wake Emergency Physicians PA
Address	2460 Curtis Ellis Dr
City	Rocky Mount
State	NC
ZIP	27804
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 27, 2019

Payer Source	Total Paid
Medicaid	$8.8M
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.	64,590	$70	$4.4M
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.	39,330	$90	$3.4M
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.	18,670	$40	$653.5K
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…	1,710	$120	$210.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	27,680	$1	$83K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	210	$60	$12.3K
99226	N/A	160	$50	$8.2K
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…	70	$100	$6.8K
99220	N/A	40	$90	$3.6K
99217	N/A	50	$30	$1.4K

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

Wake Emergency Physicians PA — 0 of 11 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.	25	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.	92	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.	21	280	2,690	$130	$1.6M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	178	340	260	$60	$187.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	497	510	480	$40	$166.3K
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…	22	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…	172	280	130	$90	$80.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	22	240	1,280	$1	$33.1K
99220	N/A	30	50	50	$70	$17.4K
99217	N/A	31	50	110	$40	$13.3K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wake Emergency Physicians PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wake Emergency Physicians PA	NC	Emergency Medicine Physician	$0	$24.3M
Jessica Boyer	MD	Emergency Medicine Physician	$19K	$0
Maureen Link	NC	Nurse Practitioner	$12.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Educare Community Living Corporation - North Carolina	NC	Community/Behavioral Health Agency	$0	$69.3M
Nash Hospitals Inc	NC	General Acute Care Hospital	$0	$42.4M
Boice-willis Clinic PA	NC	Internal Medicine Physician	$0	$27.8M
Opportunities Industrialization Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$8.1M
County Of Nash	NC	Land Ambulance	$1M	$2.3M
County Of Halifax	NC	Land Ambulance	$495.6K	$2.3M
Boice-willis Clinic, PA	NC	Clinical Medical Laboratory	$509.1K	$735.1K
Karn Gupta	NC	Nephrology Physician	$944.8K	$0
Aristides Assimacopoulos	NC	Infectious Disease Physician	$360.7K	$450.7K
Metz Medical Transport, Inc.	NC	Land Ambulance	$363.8K	$212.1K

Wake Emergency Physicians PA — Billing Profile & Reimbursement Data

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Wake Emergency Physicians PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References