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.

Francis Collins (NPI 1053354142)

Field	Value
Entity Type	Individual
Organization	Francis Collins
Address	205 Page Rd
City	Pinehurst
State	NC
ZIP	28374
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicare	$255.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,250	$90	$110.3K
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…	270	$70	$17.6K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	170	$80	$13K
94729	In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.	360	$30	$10.5K
94726	The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…	340	$30	$9.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	900	$10	$9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,030	$10	$8.2K
71250	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.	130	$60	$7.9K
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	1,330	$10	$6.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	680	$10	$5.5K

Showing 1–10 of 43

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Francis Collins — 4 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. state median

43 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86003	8	30	640	$10	$89.2K
82306	452	870	50	$30	$20.2K
84443	125	1,090	90	$20	$18K
80061	310	1,180	110	$10	$17.4K
80053	47	1,400	100	$10	$16.5K
99214	116	18,060	110	$80	$15.1K
82785	10	30	30	$20	$14K
82746	30	180	30	$10	$13.6K
84153	215	360	40	$20	$11.5K
82607	35	600	30	$10	$8.7K

Showing 1–10 of 43

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pinehurst Medical Clinic, Inc.	NC	Ambulatory Surgical Clinic/Center	$1.4M	$985.2K
Karen Schorn	NC	Rheumatology Physician	$1.9M	$0
Mahmoud Atieh	NC	Interventional Cardiology Physician	$649.6K	$0
Brooks Mays	NC	Endocrinology, Diabetes & Metabolism Physician	$569.7K	$0
Christopher Tracy	NC	Rheumatology Physician	$485.7K	$0
Michol Stanzione	NC	Internal Medicine Physician	$433.8K	$0
Lukas Jantac	NC	Cardiovascular Disease Physician	$383.7K	$0
Jennifer Szurgot	NC	Internal Medicine Physician	$374.7K	$0
David Reisman	NH	Hematology & Oncology Physician	$366.8K	$0
Ashley Greer	CO	Anatomic Pathology & Clinical Pathology Physician	$366.8K	$0

Nearby Providers

Other providers in the same ZIP code as Francis Collins, 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
Sandhills Emergency Physicians PA	NC	Emergency Medical Services (Emergency Medicine) Physician	$0	$21.1M
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
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

Francis Collins — Billing Profile & Reimbursement Data

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Francis Collins — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References