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.

James Hines (NPI 1083968259)

Field	Value
Entity Type	Individual
Organization	James Hines
Address	100 Brewster Blvd
City	Camp Lejeune
State	NC
ZIP	28547
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	November 9, 2012

Payer Source	Total Paid
Medicare	$17.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01638	The provider performs anesthesia services for a patient undergoing replacement of the shoulder joint.	50	$150	$7K
01938	The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.	30	$80	$2.8K
01942	The provider performs anesthesia services for a patient undergoing percutaneous image–guided neuromodulation procedures (altering nerve activity through stimulation) or intravertebral procedures…	20	$160	$2.4K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	10	$160	$1.9K
01940	The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is…	20	$100	$1.8K
01937	The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the cervical or thoracic spine or spinal cord.	20	$80	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

James Hines — 1 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01938	5	10	30	$70	$3.5K
01402	457	560	20	$140	$3K
01638	2	50	20	$170	$2.9K
01937	4	10	20	$80	$2.1K
01940	9	20	20	$90	$2.1K
01942	9	20	20	$90	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duplin General Hospital Incorporated	NC	General Acute Care Hospital	$0	$13.6M
Victor Rizzo	GA	Anesthesiology Physician	$71.5K	$0
Brett Howard	NC	Certified Registered Nurse Anesthetist	$63.4K	$0
Michael Dellinger	GA	Anesthesiology Physician	$62.1K	$0
Mark Lofye	GA	Anesthesiology Physician	$61.8K	$0
Gary Thompson	SC	Anesthesiology Physician	$56.4K	$0
Marc Reichel	SC	Anesthesiology Physician	$54.8K	$0
George Simmons	SC	Anesthesiology Physician	$52.2K	$0
John Daniel	SC	Anesthesiology Physician	$49.7K	$0
Misty Gibson	TN	Certified Registered Nurse Anesthetist	$46.4K	$0

Nearby Providers

Other providers in the same ZIP code as James Hines, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vincent Champion	NC	Diagnostic Radiology Physician	$406.6K	$166.9K
Brent Lacey	NC	Gastroenterology Physician	$243.5K	$0
Sawsan Ghurani	NC	Psychiatry Physician	$191.4K	$0
Eric Gessler	NC	Otolaryngology Physician	$185.4K	$0
Marcel Macgilvray	NC	Diagnostic Radiology Physician	$78.4K	$0
Nathaniel Rial	AA (Armed Forces Americas)	Internal Medicine Physician	$69K	$0
Drew Geller	NC	Internal Medicine Physician	$39.7K	$0
William Chen	NC	Foot & Ankle Surgery Podiatrist	$32K	$0
Stella Hayes	NC	Family Medicine Physician	$30.5K	$0
Claire Esposito	NC	Anesthesiology Physician	$19.4K	$0

James Hines — Billing Profile & Reimbursement Data

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James Hines — 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