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.

American Respiratory Specialist, LLC (NPI 1154936193)

Field	Value
Entity Type	Organization
Organization	American Respiratory Specialist, LLC
Address	1345 Shirebourn
City	Hickory
State	NC
ZIP	28602
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	September 15, 2020

Payer Source	Total Paid
Medicare	$228.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95808	A technologist attends this sleep study, or polysomnography, which is a test that measures biophysiological changes that happen while a patient sleeps. The test helps physicians to diagnose sleep…	380	$400	$152.7K
94617	In this procedure, the provider performs a test to assess exercise–induced bronchospasm to evaluate lung function and to diagnose certain lung disorders. The provider also evaluates some degree of…	400	$60	$25.7K
94690	The provider collects the patient’s expired air in a laboratory setting and analyzes the data to assess the patient’s respiratory status. He may run the test to evaluate a patient with bronchial…	380	$40	$13.3K
94727	The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…	380	$30	$12.2K
94375	The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…	380	$30	$10.7K
94618	The provider performs pulmonary stress testing to evaluate lung function and to diagnose certain lung disorders. The stress component may include a six–minute walk test or other form of exercise.	400	$30	$10K
94200	The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…	380	$10	$4.2K

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

Claims Volume vs. North Carolina Distribution

American Respiratory Specialist, LLC — 5 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95808	1	10	380	$400	$152.7K
94617	1	10	220	$60	$13.9K
94727	2	60	70	$30	$2.4K
94375	8	110	30	$20	$2.2K
94618	4	150	30	$20	$1.4K
94690	1	20	20	$30	$1.3K
94200	1	10	30	$10	$1K

Nearby Providers

Other providers in the same ZIP code as American Respiratory Specialist, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$40.4M
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$28.1M
Christopher H. Brown, Bs Dent, Dds,pa	NC	Oral and Maxillofacial Surgery (Dentist)	$0	$21.8M
Catawba Pediatric Associates, P.A.	NC	Pediatrics Physician	$0	$20.2M
Catawba Valley Medical Center	NC	General Acute Care Hospital	$0	$17.3M
Pediatric Therapy Network	NC	Pediatric Physical Therapist	$0	$12.2M
Urgent Care Of Mountain View PLLC	NC	Urgent Care Clinic/Center	$0	$11.5M
Childrens Neurotherapy Services	NC	Pediatric Occupational Therapist	$0	$9.8M
Creative Change Counseling	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Rafael Rivera, Jr, Dds, PLLC	NC	Dentist	$0	$8.8M

American Respiratory Specialist, LLC — Billing Profile & Reimbursement Data

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American Respiratory Specialist, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References