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.

Fastmed Urgent Care PC (NPI 1225331903)

Key Findings

Field	Value
Entity Type	Organization
Organization	Fastmed Urgent Care PC
Address	1311 E Millbrook Rd
City	Raleigh
State	NC
ZIP	27609
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	December 17, 2010

Payer Source	Total Paid
Medicaid	$40.4M
Medicare	$0

This provider is effectively single‑payer in the available federal datasets: there is no Medicare billing on file while Medicaid revenue totals $40.4M. The practice’s NPI was enumerated on 2010-12-17 (~16 years ago), indicating an established billing presence in the market over an extended period.

Revenue is highly concentrated in a small set of evaluation-and-management codes: 99214 ($12.9M, 32.0%), 99203 ($9M, 22.2%), and 99204 ($7.7M, 19.2%) — the top three Medicaid codes together account for 73.4% of this provider’s total Medicaid revenue. That concentration implies the business’s financial performance is tightly coupled to outpatient office/urgent-care visit volumes and to reimbursement policy for those E/M codes.

The code mix (99214, 99203, 99204, plus substantial 99213 and 99202 activity) indicates this Urgent Care Clinic/Center is operating primarily as a high-throughput evaluation-and-management practice handling both new and established patients across low-to-moderate complexity visits. Average paid amounts per visit are modest for volume drivers ($70 for 99214, $59 for 99203, $104 for 99204), so overall revenue appears to be driven by scale rather than high per-encounter reimbursement.

In-state competitive standing for core E/M codes is dominant: 99203 ranks #1 of 1090 providers in-state (100th percentile; extreme outlier), 99204 ranks #1 of 1314 providers (100th percentile; extreme outlier), and 99214 ranks #5 of 4404 providers (100th percentile; extreme outlier). These ranks show this provider is a major, outlying volume generator for the specific outpatient visit codes that drive most of its Medicaid revenue.

Ancillary diagnostic and point-of-care testing is a meaningful secondary service line: high volumes and revenues for testing codes such as 87811 (69.1K claims, $31 avg paid/claim, $2.1M; ranks #1 of 186 providers, 100th percentile; extreme outlier), 87804 (111.9K claims, $12 avg paid/claim, $1.3M; ranks #1 of 879 providers, 100th percentile; extreme outlier), 87426 (36.8K claims, $23 avg paid/claim, $846.2K; ranks #3 of 443 providers, 100th percentile; extreme outlier), and 87880 (62.4K claims, $12 avg paid/claim, $748.7K; ranks #2 of 885 providers, 100th percentile; extreme outlier). The combination of high-volume E/M plus extensive testing is consistent with an urgent‑care model that bundles in-office diagnostics with visits.

Operational throughput is very large: claim counts for top visit codes are exceptionally high (184.5K claims for 99214 and 151.9K claims for 99203), indicating continuous, volume-driven patient flow. Given the modest average paid amounts per claim, the practice’s Medicaid revenue model depends on sustaining very high visit volumes rather than on high-margin services.

From a contracting and policy perspective, dependence on Medicaid (with $40.4M in Medicaid revenue and no Medicare billing on file) plus the 73.4% revenue concentration in three E/M codes creates both negotiating leverage and exposure: any changes to Medicaid managed-care contracts, state E/M reimbursement, or visit coding policy would disproportionately affect this provider. Payers and network managers should treat this entity as a high-volume Medicaid account with concentrated service risk.

Medicaid: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	184,510	$70	$12.9M
99203	The provider sees a new 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 provider…	151,920	$60	$9M
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…	74,340	$100	$7.7M
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…	110,090	$40	$4.5M
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	69,090	$30	$2.1M
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	111,910	$10	$1.3M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	36,790	$20	$846.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	62,390	$10	$748.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	136,110	$1	$408.3K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	21,000	$10	$126K

Showing 1–10 of 49

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

Fastmed Urgent Care PC — 12 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

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	245	2,850	10,910	$10	$330.3K
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…	5	4,400	960	$60	$271.3K
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…	15	4,130	670	$50	$219.9K
S9083	Global fee urgent care centers	5	10	160	$70	$190.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	52	490	260	$40	$80.3K
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…	108	370	290	$10	$75.8K
99215	The provider sees an established 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…	333	1,130	160	$80	$75.6K
99203	The provider sees a new 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 provider…	1	1,090	120	$60	$71.5K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	1	190	300	$30	$66.5K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	221	320	280	$60	$63.8K

Showing 1–10 of 49

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Larry Wilson	NC	Family Medicine Physician	$160.3K	$0
Jackie Posvar	NC	Physician Assistant	$80.3K	$0
Kristen Vestigo	NC	Physician Assistant	$79.8K	$0
Rebekah Diky	MA	Medical Physician Assistant	$58.9K	$0
Brent Layne	NC	Physician Assistant	$25.1K	$0
Hannah Kegley	TN	Physician Assistant	$17K	$0
Ashley Allen	SC	Family Medicine Physician	$12.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of North Carolina	NC	Community/Behavioral Health Agency	$0	$77.5M
Voca Corp Of North Carolina	NC	Community/Behavioral Health Agency	$0	$62.8M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$58.3M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$29.3M
Carter Clinic, P A	NC	Psychiatry Physician	$0	$19.4M
Professional Healthcare, LLC	NC	Nursing Care Agency	$0	$17.6M
Healing Interventions, Inc	NC	Community/Behavioral Health Agency	$0	$15.3M
Kids First Pediatrics Of Raleigh, PLLC	NC	Pediatrics Physician	$0	$12M
Raleigh Best Medical Supply And Home Health Care Services, LLC	NC	Home Health Agency	$0	$11.9M
Resources For Seniors, Inc	NC	Case Manager/Care Coordinator	$0	$11.3M

Fastmed Urgent Care PC — Billing Profile & Reimbursement Data

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Fastmed Urgent Care PC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References