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.

County Of Guilford (NPI 1245272657)

Field	Value
Entity Type	Organization
Organization	County Of Guilford
Address	1100 E Wendover Ave
City	Greensboro
State	NC
ZIP	27405
Taxonomy	State or Local Public Health Clinic/Center
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicaid	$16.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	2,092,280	$10	$10.5M
99502	A home health provider, such as a registered nurse, visits a patient and her newborn at home to evaluate the newborn and provide newborn care education to the patient.	10,890	$60	$631.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	20,630	$30	$536.3K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	20,720	$30	$518K
99501	A home health provider, such as a registered nurse, visits a patient and her newborn at home to review plans of care and provide additional resources to the patient.	10,290	$50	$473.3K
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…	3,560	$90	$334.7K
D0120	Periodic oral evaluation - established patient	10,930	$30	$317.1K
D1120	Prophylaxis–child	8,780	$30	$272.1K
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…	7,520	$30	$240.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	13,120	$20	$236.1K

Showing 1–10 of 120

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

County Of Guilford — 4 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

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	12	20	240	$400	$13.6M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	23	30	170	$260	$2.6M
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	13	70	280	$20	$896.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	18	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.	18	190	560	$20	$609.8K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	57	100	400	$10	$440.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	6	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…	1,139	4,400	960	$60	$271.3K
81329	The lab analyst performs the technical lab test to detect deletions in the survival of motor neuron 1 (SMN1), telomeric, gene and may also analyze the survival of motor neuron 2 (SMN2), centromeric,…	12	10	100	$40	$243.4K
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…	544	4,130	670	$50	$219.9K

Showing 1–10 of 120

Nearby Providers

Other providers in the same ZIP code as County Of Guilford, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rha Health Services Nc, LLC	NC	Case Management Agency	$0	$32.6M
Triad Adult And Pediatric Medicine, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$29.2M
Amethyst Consulting & Treatment Solutions, PLLC	NC	Social Worker	$0	$25.5M
Cheshire Speech And Voice Center Inc	NC	Speech-Language Pathologist	$0	$20.5M
United Youth Care Services	NC	Clinical Medical Laboratory	$0	$20.2M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$17.8M
Professional Rehabilitation Consultants	NC	Rehabilitation Psychologist	$0	$16M
Regional Home Care, Inc.	NC	In Home Supportive Care Agency	$0	$14.8M
Ally Home Care Greensboro, LLC	NC	In Home Supportive Care Agency	$0	$11.6M
Crossroads Treatment Center Of Greensboro, PC	NC	Substance Use Disorder Rehabilitation Clinic/Center	$164.1K	$11.1M

County Of Guilford — Billing Profile & Reimbursement Data

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County Of Guilford — 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