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.

Catawba Valley Medical Center (NPI 1164495255)

Field	Value
Entity Type	Organization
Organization	Catawba Valley Medical Center
Address	810 Fairgrove Church Rd
City	Hickory
State	NC
ZIP	28602
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 9, 2006

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

116 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20,210	$260	$5.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	34,560	$150	$5.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	4,180	$280	$1.2M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	5,070	$140	$709.2K
0241U	N/A	4,200	$150	$630.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	5,060	$90	$445.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	7,870	$40	$322.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	3,220	$100	$322.4K
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…	39,870	$10	$319K
J3490	Unclassified drugs	96,320	$1	$289K

Showing 1–10 of 116

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

Catawba Valley Medical Center — 1 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. North Carolina median

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	92	330	6,130	$130	$2.7M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	67	160	840	$70	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	44	320	6,160	$120	$2.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	129	280	2,690	$130	$1.6M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	60	80	420	$30	$1.2M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	28	40	420	$1,080	$841K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	205	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	56	90	4,210	$30	$676.8K
87536	A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.	21	30	470	$50	$640.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	49	190	530	$20	$635.1K

Showing 1–10 of 116

Related Providers

Other providers that share a Tax Identification Number (TIN) with Catawba Valley Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jonathan Moseley	CT	Internal Medicine Physician	$740	$1.2M
Catawba Valley Medical Center	NC	Diagnostic Radiology Physician	$793.4K	$0
Sanjay Patel	NC	Cardiovascular Disease Physician	$288.8K	$0
Ghanshyam Palamaner Subash Shantha	NC	Clinical Cardiac Electrophysiology Physician	$115.3K	$0
Gabriel Delgado	NC	Interventional Cardiology Physician	$107.4K	$0
Obiora Maludum	TN	Interventional Cardiology Physician	$104.3K	$0
Gener Dressler	NC	Vascular Surgery Physician	$85.3K	$0
Jessica Urzen	NC	Physical Medicine & Rehabilitation Physician	$68.1K	$0
Amy Gorman	NC	Family Nurse Practitioner	$26.7K	$0

Nearby Providers

Other providers in the same ZIP code as Catawba Valley Medical Center, 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
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
Mcleod Centers For Wellbeing	NC	Community/Behavioral Health Agency	$65.3K	$7.4M

Catawba Valley Medical Center — Billing Profile & Reimbursement Data

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Catawba Valley Medical Center — 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