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    OpenPayerNPI Medicare & MedicaidRegional Health Diagnostics Inc
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    Regional Health Diagnostics Inc — Billing Profile & Reimbursement Data

    NPI 1154656411 · Jacksonville, NC · Sleep Disorder Diagnostic Clinic/Center

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    Regional Health Diagnostics Inc is a sleep disorder diagnostic clinic/center provider located in Jacksonville, North Carolina. This profile covers 7 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRegional Health Diagnostics Inc
    Address38 Office Park Dr
    CityJacksonville
    StateNC
    ZIP28546
    TaxonomySleep Disorder Diagnostic Clinic/Center
    NPI EnumeratedOctober 5, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$804.8K
    Medicare$308.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95716The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…160$780$127.6K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…190$250$49.1K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…120$420$48.6K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.100$430$42.3K
    95720A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…170$150$26K
    95700The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…70$160$11.8K
    G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation50$50$2.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95716210220$760$171K
    95720125070$150$14.6K
    958111312040$260$12.1K
    958101114040$250$11.8K
    9570011040$160$7.5K
    95816210040$140$6.8K
    G0399113050$50$2.8K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…1,170$420$493K
    95951N/A310$780$238.4K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.130$380$48.9K
    95716The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…30$560$16.9K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…50$100$4.4K
    95720A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…30$80$2.2K
    95700The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…20$30$530

    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.

    Full comparison — all codes billed, vs. North Carolina median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95720A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…2430560$120$160.3K
    95951N/A920250$200$145.2K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…890110$260$83.1K
    95700The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…810220$220$69.1K
    95716The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…31080$810$54K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.125050$230$32.8K
    95816Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…346070$70$20.3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Regional Health Diagnostics Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Julian Ungar-sargonINNeurology Physician$248.1K$3.6M
    Virendra RanadiveGANeurology Physician$260.4K$0
    Shyamal MitraNCCardiovascular Disease Physician$197K$0
    Charles PortNCNeurology Physician$154.3K$0
    Geoffrey LipscombALFamily Medicine Physician$108.7K$0
    Jose CanedoGANeurology Physician$32.4K$0
    Christopher NolteTNSleep Medicine (Psychiatry & Neurology) Physician$18.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Regional Health Diagnostics Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jacksonville Children's And Multispecialty Clinic, PANCFamily Medicine Physician$0$44.6M
    Coastal Carolina Neuropsychiatric Center, PANCPsychiatry Physician$0$32M
    Onslow Memorial Hospital IncNCGeneral Acute Care Hospital$0$23.6M
    Onslow Pediatric Associates, P.A.NCPediatrics Physician$0$10.1M
    Iquolioc Inc.NCCommunity/Behavioral Health Agency$0$9.9M
    Womens Healthcare Associates PANCObstetrics & Gynecology Physician$0$8.2M
    Integrated Family Services, PLLCNCCommunity/Behavioral Health Agency$0$7.1M
    County Of OnslowNCLand Ambulance$1.6M$5.3M
    Jacksonville Treatment CenterNCCommunity/Behavioral Health Agency$146.9K$5.8M
    Nagesh JayaramNCHematology & Oncology Physician$1.8M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Regional Health Diagnostics Inc — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Regional Health Diagnostics Inc — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina