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.

Carolina Asthma And Allergy Center PA (NPI 1215995444)

Carolina Asthma And Allergy Center PA is a allergy & immunology physician provider located in Charlotte, North Carolina. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Carolina Asthma And Allergy Center PA
Address	2600 E 7th St Unit A
City	Charlotte
State	NC
ZIP	28204
Taxonomy	Allergy & Immunology Physician
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	31,230	$180	$5.7M
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	26,960	$160	$4.3M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	45,690	$80	$3.7M
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	13,370	$150	$2M
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	214,680	$10	$1.7M
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	4,440	$130	$555.5K
95115	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.	51,220	$10	$358.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,290	$50	$171.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	5,160	$20	$123.8K
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…	3,390	$30	$88.2K

Showing 1–10 of 19

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

Carolina Asthma And Allergy Center PA — 8 of 17 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	57	4,400	960	$60	$271.3K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	1	90	320	$160	$262.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	953	4,130	670	$50	$219.9K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	1	100	200	$150	$212.6K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	2	300	140	$130	$121.5K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	1	100	1,190	$10	$75.7K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	31	1,310	80	$90	$59.7K
95115	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives a single injection during the visit.	1	40	720	$10	$32.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	315	360	60	$130	$29K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	42	80	280	$40	$25.8K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolinas Medical Center	NC	Surgical Critical Care Physician	$0	$52.9M
The Presbyterian Hospital	NC	General Acute Care Hospital	$0	$33.5M
Maxim Healthcare Services, Inc.	NC	Home Health Agency	$0	$27.9M
Carolina Medicorp Enterprises, LLC	NC	Urgent Care Clinic/Center	$0	$13.3M
Carolinas Physicians Network Inc.	NC	Vascular Surgery Physician	$0	$8.9M
Hazem El-gamal	NC	MOHS-Micrographic Surgery Physician	$1M	$0
Noelle Williams	NC	Radiation Oncology Physician	$713K	$0
Jahan Mohiuddin	NC	Radiation Oncology Physician	$566.7K	$0
Marc Carruth	NC	MOHS-Micrographic Surgery Physician	$499.3K	$0
Joanna Young	NC	Internal Medicine Physician	$459.9K	$0

Carolina Asthma And Allergy Center PA — Billing Profile & Reimbursement Data

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Carolina Asthma And Allergy Center PA — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Norris	NC	Allergy & Immunology Physician	$379.7K	$0
Roopen Patel	NC	Allergy & Immunology Physician	$347.9K	$0
Richard Collins	NC	Allergy & Immunology Physician	$184.4K	$0
Susan Hungness	NC	Allergy & Immunology Physician	$68.3K	$0
Shannon Chadha	NC	Allergy & Immunology Physician	$56.1K	$0
Richard Silton	NC	Allergy & Immunology Physician	$47K	$0
Glenn Errington	NC	Allergy & Immunology Physician	$31.9K	$0
Michael Lapuente	NC	Allergy & Immunology Physician	$30.4K	$0