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.

Sentara Albemarle Regional Medical Center (NPI 1245211168)

Sentara Albemarle Regional Medical Center is a general acute care hospital provider located in Elizabeth City, North Carolina. This profile covers 0 Medicare and 103 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	Sentara Albemarle Regional Medical Center
Address	3050 Halstead Blvd
City	Elizabeth City
State	NC
ZIP	27909
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 8, 2005

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

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

103 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.	44,620	$100	$4.5M
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.	22,920	$150	$3.5M
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.	8,230	$180	$1.5M
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.	12,320	$50	$640.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	10,640	$60	$606.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,180	$30	$369K
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…	12,250	$30	$355.4K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	7,630	$40	$282.4K
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…	6,460	$40	$271.2K
0240U	N/A	1,110	$150	$161.3K

Showing 1–10 of 103

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

Sentara Albemarle Regional Medical Center — 0 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

103 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.	86	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.	35	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.	98	280	2,690	$130	$1.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	203	640	4,280	$60	$983.2K
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.	289	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.	270	520	2,870	$70	$721.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	72	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.	71	190	560	$20	$609.8K
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…	142	150	860	$50	$586.6K
0241U	N/A	116	140	1,140	$150	$510.8K

Showing 1–10 of 103

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lindsey White	NC	Cardiovascular Disease Physician	$820.2K	$0
Greg Warren	NC	Nephrology Physician	$179.8K	$0
Stewart Manning	NC	Nephrology Physician	$172.2K	$0
Steven Faber	NC	Gastroenterology Physician	$168.7K	$0
Antonio Ruiz	NC	Surgery Physician	$165.1K	$0
Tarkten Pharr	NC	Vascular Surgery Physician	$139.2K	$0
William Philippi	GA	Neurology Physician	$83.8K	$0
Praveen Potluru	NC	Anesthesiology Physician	$12.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cmg Of North Carolina, Inc.	NC	Pediatrics Physician	$0	$9.1M
Benjamin House, Inc.	NC	Developmentally Disabled Services Day Training Agency	$0	$7.1M
The Brooks Senior Living LLC	NC	Assisted Living Facility	$0	$7M
Julia Schaefer-cutillo	NC	Hematology & Oncology Physician	$4M	$0
County Of Pasquotank Office Of The Treasurer	NC	Paramedic	$1.2M	$1.7M
Jitendra Swarup	NC	Ophthalmology Physician	$702.6K	$0
Alan Maniet	NC	Cardiovascular Disease Physician	$556.2K	$0
Tejwant Chandi	NC	Internal Medicine Physician	$514.9K	$0
Sidney Sutton	NC	Family Medicine Physician	$315.4K	$0
Steven Manuli	NC	Internal Medicine Physician	$307.7K	$710

Sentara Albemarle Regional Medical Center — Billing Profile & Reimbursement Data

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Sentara Albemarle Regional Medical Center — 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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