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.

Cotswold Family Medicine (NPI 1083642169)

Field	Value
Entity Type	Organization
Organization	Cotswold Family Medicine
Address	309 S Sharon Amity Rd
City	Charlotte
State	NC
ZIP	28211
Taxonomy	Family Medicine Physician
NPI Enumerated	June 29, 2006

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1,299,970	$10	$11.7M
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…	6,490	$60	$389.2K
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…	1,100	$40	$48.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	370	$60	$23K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	610	$20	$9.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,300	$1	$1.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	250	$10	$1.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	20	$60	$940
99441	N/A	60	$10	$780
0002A	N/A	20	$40	$660

Showing 1–10 of 24

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

Cotswold Family Medicine — 1 of 13 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	12	2,850	10,910	$10	$330.3K
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…	702	4,400	960	$60	$271.3K
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…	1,684	4,130	670	$50	$219.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	477	530	270	$90	$112.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	604	630	840	$30	$101.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	384	1,130	160	$80	$75.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	551	1,570	160	$20	$45K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	349	1,220	400	$1	$14.5K
99442	N/A	325	400	60	$30	$7.5K
0002A	N/A	511	610	70	$40	$7K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolinas Physicians Network Inc	NC	Psychologist	$0	$29.4M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$9.9M
Carolinas Physicians Network Inc.	NC	Vascular Surgery Physician	$0	$8.9M
Carolinas Physicians Network Inc	SC	Pediatrics Physician	$0	$8.5M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$8.5M
University Pediatrics	NC	Pediatrics Physician	$0	$8.1M
Carolinas Physician Network Inc	NC	Pediatrics Physician	$0	$7.7M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$7.3M
Carolinas Physicians Network Inc	SC	Pediatrics Physician	$0	$3M
Floyd Physicians, LLC	GA	Neonatal-Perinatal Medicine Physician	$0	$2.6M

Nearby Providers

Other providers in the same ZIP code as Cotswold Family Medicine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Youth Network	NC	Community/Behavioral Health Agency	$0	$36.8M
David H. Moore, Dds,ms,pa	NC	Pediatric Dentistry	$0	$32M
Mid-atlantic Emergency Medical Associates, PLLC	NC	Emergency Medicine Physician	$0	$25.2M
Thompson Child And Family Focus	NC	Community/Behavioral Health Agency	$0	$24.1M
Mecklenburg County	NC	State or Local Public Health Clinic/Center	$0	$22.4M
Carolinas Medical Center	NC	Psychiatric Hospital Unit	$0	$20.6M
Novant Health Medical Group LLC	NC	Pediatrics Physician	$0	$20.4M
Cooke And Mvula, PLLC	NC	Pediatric Dentistry	$0	$18.8M
Carolinas Medical Center	NC	Child & Adolescent Psychiatry Physician	$0	$16.6M
Thompson Child And Family Focus	NC	Community/Behavioral Health Agency	$0	$10M

Cotswold Family Medicine — Billing Profile & Reimbursement Data

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Cotswold Family Medicine — 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