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.

Charlotte Eye Ear Nose & Throat Associates, P.A. (NPI 1043287469)

Field	Value
Entity Type	Organization
Organization	Charlotte Eye Ear Nose & Throat Associates, P.A.
Address	6035 Fairview Rd
City	Charlotte
State	NC
ZIP	28210
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 3, 2006

Payer Source	Total Paid
Medicaid	$20.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

65 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	70,270	$50	$3.2M
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…	52,900	$50	$2.9M
J0178	Injection, aflibercept, 1 mg	3,390	$690	$2.3M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	26,690	$60	$1.5M
S0620	Routine ophthalmological examination including refraction; new patient	16,420	$90	$1.4M
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	14,540	$90	$1.3M
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	8,900	$130	$1.2M
99204	The provider sees a new 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 provider…	11,130	$90	$1M
S0621	Routine ophthalmological examination including refraction; established patient	14,130	$70	$1M
99203	The provider sees a new 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 provider…	11,930	$70	$811.5K

Showing 1–10 of 65

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

Charlotte Eye Ear Nose & Throat Associates, P.A. — 16 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

65 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	3	20	260	$630	$870.3K
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…	43	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.	12	90	320	$160	$262.5K
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…	37	4,130	670	$50	$219.9K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	84	100	200	$150	$212.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	8	90	120	$350	$184.9K
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…	304	510	480	$40	$166.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	5	10	60	$880	$129.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	8	60	100	$390	$123.1K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	6	300	140	$130	$121.5K

Showing 1–10 of 65

Related Providers

Other providers that share a Tax Identification Number (TIN) with Charlotte Eye Ear Nose & Throat Associates, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orthocarolina	NC	Orthopaedic Surgery Physician	$0	$12.3M
Justin Brown	NC	Ophthalmology Physician	$5M	$0
John Allen	NC	Ophthalmology Physician	$3.6M	$0
Omar Punjabi	NC	Ophthalmology Physician	$2.3M	$0
Alexander Barnes	NC	Ophthalmology Physician	$2.2M	$22.5K
Ronald Milam	NC	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Duncan Berry	NC	Ophthalmology Physician	$1.3M	$0
David Browning	NC	Ophthalmology Physician	$680.9K	$0
Russell Gilchrist	NC	Interventional Pain Medicine Physician	$665.2K	$0
Andrew Antoszyk	NC	Ophthalmology Physician	$559.8K	$0

Nearby Providers

Other providers in the same ZIP code as Charlotte Eye Ear Nose & Throat Associates, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Physicians Of Mecklenburg County, PLLC	NC	Emergency Medicine Physician	$0	$43.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.1M
Afc Urgent Care And Family Care Of Wnc, PLLC	NC	Urgent Care Clinic/Center	$0	$9.4M
Hammock, Dmd & Lotakis, Dds Ix, PLLC	NC	Dentist	$0	$7.9M
Bevin K Malley Dds PA	NC	Pediatric Dentistry	$0	$7.5M
Southpark Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$2.1M	$2.8M
William Bobo	NC	Radiation Oncology Physician	$865.5K	$0
Sasha Haberle	NC	MOHS-Micrographic Surgery Physician	$388.9K	$0
William Hammonds	NC	Ophthalmology Physician	$363.8K	$0
Ernest Bhend	NC	Ophthalmology Physician	$331K	$0

Charlotte Eye Ear Nose & Throat Associates, P.A. — Billing Profile & Reimbursement Data

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Charlotte Eye Ear Nose & Throat Associates, P.A. — 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