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.

Dlp Wilson Medical Center LLC (NPI 1215359922)

Field	Value
Entity Type	Organization
Organization	Dlp Wilson Medical Center LLC
Address	1705 Tarboro St Sw
City	Wilson
State	NC
ZIP	27893
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 15, 2014

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

99 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	33,970	$100	$3.5M
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.	17,600	$160	$2.9M
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.	17,610	$60	$1.1M
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.	1,960	$310	$608K
0241U	N/A	3,750	$130	$502.1K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	250	$1,420	$348.4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	27,360	$10	$246.2K
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.	5,310	$40	$212.4K
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…	34,360	$10	$206.2K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	11,540	$20	$196.1K

Showing 1–10 of 99

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

Dlp Wilson Medical Center LLC — 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

99 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.	106	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…	153	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.	47	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.	149	280	2,690	$130	$1.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	26	40	420	$1,080	$841K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	3	10	680	$170	$773.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	80	90	4,210	$30	$676.8K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	49	150	860	$50	$586.6K
0241U	N/A	39	140	1,140	$150	$510.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	127	160	490	$100	$435.6K

Showing 1–10 of 99

Nearby Providers

Other providers in the same ZIP code as Dlp Wilson Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Caring Heart Case Management, Inc.	NC	Developmentally Disabled Services Day Training Agency	$0	$127.5M
Stepping Stones Community Resources, Incorporated	NC	Community/Behavioral Health Agency	$0	$38.2M
Eastern Carolina Pediatrics PA	NC	Pediatrics Physician	$0	$24.6M
Phillips Home Health Care	NC	Home Health Agency	$0	$18M
Bridges Of Hope Inc	NC	Multi-Specialty Clinic/Center	$0	$18M
Interim Healthcare - Morris Group, Inc.	NC	Home Health Agency	$0	$14.8M
Phillips Home Health Care Agency	NC	Home Health Agency	$0	$13.9M
Wilson House LLC	NC	Adult Care Home Facility	$0	$11.7M
Frederick Myles	NC	Home Health Aide	$0	$9.2M
Polley Clinic Of Dermatology & Dermatologic Surgery	NC	Dermatopathology Physician	$0	$9.1M

Dlp Wilson Medical Center LLC — Billing Profile & Reimbursement Data

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Dlp Wilson Medical Center LLC — 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