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.

Pitt County Memorial Hospital, Inc (NPI 1043218944)

Field	Value
Entity Type	Organization
Organization	Pitt County Memorial Hospital, Inc
Address	2100 Stantonsburg Rd
City	Greenville
State	NC
ZIP	27834
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 13, 2005

Payer Source	Total Paid
Medicaid	$60.3M
Medicare	$0

Key Findings

PITT COUNTY MEMORIAL HOSPITAL, INC is effectively a single-payer Medicaid institution in the available data: there is no Medicare billing on file while total Medicaid revenue is $60.3M, indicating its publicly reported activity in these datasets is concentrated in Medicaid rather than Medicare. This makes payer mix heavily skewed toward Medicaid for the record provided.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 62.3% of the provider's total Medicaid revenue. That concentration implies a small set of services — primarily emergency department evaluation and management and high-volume SARS-CoV-2 testing — drive the majority of the hospital’s reported Medicaid receipts.

Emergency department services dominate Medicaid revenue: 99283 ($15.1M, 27.2% of total Medicaid revenue) and 99284 ($13.8M, 24.9%) together account for over half of the provider’s Medicaid revenue individually and are the single largest service lines by dollar. The volumes reported (103.8K claims for 99283 and 48.6K claims for 99284) indicate a high ED utilization and throughput consistent with a busy acute care hospital emergency department.

High-state standing on specific codes signals market leadership in testing and specimen collection: the hospital ranks #1 for C9803 and #1 for 0225U, and #2 for 0241U, with percentile notes of 100th and 99th respectively, described as extreme outlier or notably above typical state volume. This suggests PITT COUNTY MEMORIAL is a major regional node for SARS-CoV-2 specimen collection and some proprietary/multiplex lab testing within North Carolina.

Several COVID-related lab codes show sustained, large-scale testing volume: U0003 (66.2K claims, $5.6M, 10.2% of Medicaid revenue), U0005 (49.4K claims, $1.4M, 2.5%), and C9803 (71.4K claims, $1.9M, 3.5%) together reflect substantial pandemic-era diagnostic activity captured in Medicaid billing. Those lab/testing services materially contribute to the provider’s Medicaid revenue mix and support the view of a robust outpatient/ED testing operation.

Competitive positioning for ED E/M codes is mixed: 99283 ranks #8 of 316 providers in-state (98th percentile) and is described as an extreme outlier, showing the hospital is a top outlier for low-level ED visits; 99284 ranks #37 of 325 (89th percentile) which is high but more typical. This combination shows the hospital is a dominant outlier for certain ED volume types while remaining a strong but not singular leader for others.

Service breadth beyond ED and testing appears typical for an acute hospital: high-volume routine outpatient and lab codes such as 85025 (110.6K claims, $995.3K), 80053 (56.6K claims, $566K), and G0463 (40.9K claims, $981.1K) are present and rank in high percentiles statewide, indicating robust basic laboratory, imaging, and clinic visit activity consistent with a general acute care hospital.

Operational tenure is long enough to establish local presence: the NPI was enumerated on 2005-07-13 (~21 years ago), which supports that the hospital has been an established provider in the market for two decades and likely built its ED and lab capacity over that period.

Medicaid: Complete Services Breakdown

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

239 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	103,800	$150	$15.1M
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.	48,560	$280	$13.8M
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…	66,210	$90	$5.6M
0241U	N/A	25,490	$190	$4.7M
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	71,430	$30	$1.9M
0225U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0225U for the…	4,260	$360	$1.5M
U0005	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, cdc or non-cdc,…	49,360	$30	$1.4M
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.	3,690	$360	$1.3M
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.	13,110	$80	$1.1M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	570	$1,930	$1.1M

Showing 1–10 of 239

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

Pitt County Memorial Hospital, Inc — 6 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

239 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.	37	330	6,130	$130	$2.7M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	9	10	600	$1,450	$2.3M
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…	10	160	840	$70	$2.3M
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.	8	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.	133	280	2,690	$130	$1.6M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	134	170	2,470	$140	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	408	640	4,280	$60	$983.2K
G0482	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…	58	60	1,640	$100	$940.2K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	40	70	280	$20	$896.7K
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.	240	360	1,830	$40	$819.8K

Showing 1–10 of 239

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pitt County Memorial Hospital, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vidant Medical Group LLC	NC	Multi-Specialty Clinic/Center	$0	$78M
East Carolina University	NC	Internal Medicine Physician	$0	$53.7M
Pitt County Memorial Hospital Inc	NC	Ambulance	$0	$15.6M
Duplin General Hospital Incorporated	NC	General Acute Care Hospital	$0	$13.6M
East Carolina Health - Heritage Inc	NC	General Acute Care Hospital	$0	$12.9M
East Carolina Health - Chowan Inc	NC	Critical Access Hospital	$0	$9.5M
East Carolina Health	NC	General Acute Care Hospital	$0	$8.2M
Surgicenter Of Eastern Carolina LLC	NC	Ambulatory Surgical Clinic/Center	$2.6M	$4.6M
Susan Andracchi	NC	Ophthalmology Physician	$1.9M	$0
Maria Picton	NC	Hematology & Oncology Physician	$1.4M	$0

Nearby Providers

Other providers in the same ZIP code as Pitt County Memorial Hospital, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paradigm, Inc.	NC	Community/Behavioral Health Agency	$0	$37.8M
Better Connections, Inc.	NC	Community/Behavioral Health Agency	$0	$25.4M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$25M
East Carolina University	NC	Pediatrics Physician	$0	$22.8M
Pediatric Services Of America, LLC	NC	Nursing Care Agency	$0	$15.6M
Eastern Radiologists Inc	NC	Diagnostic Radiology Physician	$0	$14.3M
East Carolina University	NC	Obstetrics & Gynecology Physician	$0	$12.3M
Greenville Pediatric Services, Inc	NC	Pediatrics Physician	$0	$10.9M
Health-pro Homecare Services, Inc.	NC	Home Health Agency	$0	$10M
East Carolina University	NC	Family Medicine Physician	$0	$9.5M

Pitt County Memorial Hospital, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References