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.

Mh Mission Hospital Mcdowell, Lllp (NPI 1225513948)

Mh Mission Hospital Mcdowell, Lllp is a general acute care hospital provider located in Marion, North Carolina. This profile covers 0 Medicare and 139 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	Mh Mission Hospital Mcdowell, Lllp
Address	430 Rankin Dr
City	Marion
State	NC
ZIP	28752
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 27, 2018

Payer Source	Total Paid
Medicaid	$7.6M
Medicare	$0

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

139 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.	9,420	$170	$1.6M
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.	12,280	$120	$1.4M
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.	1,070	$520	$552.2K
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.	2,280	$230	$513.9K
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…	10,280	$50	$493.5K
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…	12,970	$30	$389.1K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	12,490	$30	$374.8K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	950	$210	$201.3K
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.	17,540	$10	$140.3K
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.	2,650	$50	$138K

Showing 1–10 of 139

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

Mh Mission Hospital Mcdowell, Lllp — 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

139 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.	139	330	6,130	$130	$2.7M
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.	118	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.	144	280	2,690	$130	$1.6M
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	11	40	480	$40	$1.4M
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…	7	80	420	$30	$1.2M
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	24	70	280	$20	$896.7K
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.	256	360	1,830	$40	$819.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	496	520	2,870	$70	$721.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	89	190	530	$20	$635.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	88	190	560	$20	$609.8K

Showing 1–10 of 139

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mission Health Community Multispecialty Providers, LLC	NC	Internal Medicine Physician	$0	$24.1M
Mh Mission Hospital Mcdowell, Lllp	NC	Rural Health Clinic/Center	$0	$7.1M
Christopher Chay	NC	Hematology & Oncology Physician	$1.8M	$0
Trevor Austin	NC	Hematology & Oncology Physician	$1.4M	$0
Wieslawa Pekal	NC	Hematology & Oncology Physician	$1.2M	$0
Mridu Chand	NC	Hematology & Oncology Physician	$1.1M	$0
Shantae Lucas	NC	Hematology & Oncology Physician	$572.1K	$0
Ted Barnett	NC	Orthopaedic Surgery Physician	$246.3K	$0
Thomas Starnes	NC	Emergency Medicine Physician	$241.6K	$0
Terry Kersey	NC	Cardiovascular Disease Physician	$183.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Companion Home Care, LLC	NC	Community/Behavioral Health Agency	$0	$63.6M
North Carolina Outreach Home Care LLC	NC	Community/Behavioral Health Agency	$0	$16.7M
Mountain Area Community Services	NC	Personal Care Attendant	$0	$10.3M
Strategic Interventions, LLC	NC	Community/Behavioral Health Agency	$0	$9.9M
Mcdowell Assisted Living,llc	NC	Assisted Living Facility	$0	$7.1M
Mcdowell County	NC	Ambulance	$687.7K	$2.1M
James Weegar	NC	Physician Assistant	$284.2K	$0
Eric Roslonski	NC	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$148.7K	$0
Carl Dean	NC	Physical Therapist	$78K	$0
Andrew Johnson	NC	Physical Therapist	$69.2K	$0

Mh Mission Hospital Mcdowell, Lllp — Billing Profile & Reimbursement Data

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Mh Mission Hospital Mcdowell, Lllp — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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