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.

Piedmont Health Services, Inc. (NPI 1164526109)

Field	Value
Entity Type	Organization
Organization	Piedmont Health Services, Inc.
Address	301 Lloyd St
City	Carrboro
State	NC
ZIP	27510
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 11, 2006

Payer Source	Total Paid
Medicaid	$16.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	115,780	$120	$14.1M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	181,110	$10	$1.1M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,080	$80	$322.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,380	$90	$294.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,490	$80	$275.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	17,370	$10	$225.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,380	$90	$207.3K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	9,020	$20	$189.4K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	7,590	$10	$53.1K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	2,040	$20	$48.8K

Showing 1–10 of 54

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

Piedmont Health Services, Inc. — 2 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

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	4	530	2,970	$100	$964.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	196	2,850	10,910	$10	$330.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	133	520	1,080	$80	$262.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	123	550	970	$90	$258.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	113	590	490	$90	$179.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	93	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.	63	630	840	$30	$101.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	965	1,250	760	$20	$60K
D0145	N/A	327	460	480	$30	$49.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	59	1,570	160	$20	$45K

Showing 1–10 of 54

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of North Carolina At Chapel Hill	NC	Community/Behavioral Health Agency	$0	$18.2M
Ailse O'neill	NC	Occupational Therapist	$45.7K	$0

Piedmont Health Services, Inc. — Billing Profile & Reimbursement Data

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Piedmont Health Services, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References