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.

Carolinaeast Physicians (NPI 1255632006)

Carolinaeast Physicians is a internal medicine physician provider located in Pollocksville, North Carolina. This profile covers 0 Medicare and 153 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	Carolinaeast Physicians
Address	137 Medical Ln
City	Pollocksville
State	NC
ZIP	28573
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 10, 2010

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

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

153 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…	69,650	$50	$3.4M
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…	58,440	$40	$2.4M
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…	4,170	$60	$262.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,110	$80	$257.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,310	$80	$254.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	12,930	$20	$206.9K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	6,010	$30	$180.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,370	$80	$109.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	2,660	$40	$103.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,140	$40	$89.9K

Showing 1–10 of 153

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

Carolinaeast Physicians — 3 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

153 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	263	520	2,870	$70	$721.7K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	955	2,850	10,910	$10	$330.3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	54	160	270	$10	$316.7K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	15	50	380	$10	$302.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	95	180	1,290	$50	$276.1K
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…	31	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.	88	90	320	$160	$262.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	140	520	1,080	$80	$262.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	146	550	970	$90	$258.9K
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.	115	290	1,720	$10	$248.2K

Showing 1–10 of 153

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Holmes	NC	Rheumatology Physician	$1.6M	$0
Evan Restelli	NC	Pulmonary Disease Physician	$997.9K	$0
Jennifer Holmes	NC	Pulmonary Disease Physician	$812.7K	$0
Garland Moeller	NC	Rheumatology Physician	$582K	$0
John Gould	NC	Cardiovascular Disease Physician	$529.4K	$0
Matthew Levine	NC	Cardiovascular Disease Physician	$460.9K	$0
Matthew Grove	NC	Interventional Cardiology Physician	$451K	$0
Christopher Hudson	NC	Clinical Cardiac Electrophysiology Physician	$405K	$0
Angela Park	NC	Clinical Cardiac Electrophysiology Physician	$385.4K	$0
Kevin Macdonald	NC	Family Medicine Physician	$384.2K	$0

Carolinaeast Physicians — Billing Profile & Reimbursement Data

Sign up for Carolinaeast Physicians — Billing Profile & Reimbursement Data policy alerts

Carolinaeast Physicians — Billing Profile & Reimbursement Data

Sign up for Carolinaeast Physicians — Billing Profile & Reimbursement Data policy alerts

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
Nicholas Farina	NC	Internal Medicine Physician	$269.6K	$0
Mark Moeller	NC	Internal Medicine Physician	$242.9K	$0
John Jasper	NC	Internal Medicine Physician	$200.4K	$0
Daniel Champey	NC	Neurology Physician	$149.8K	$0
Elizabeth Stott	NC	Physician Assistant	$144.3K	$0
James Underhill	NC	Foot & Ankle Surgery Podiatrist	$138.3K	$0
Kelsey Barr	NC	Endocrinology, Diabetes & Metabolism Physician	$115.3K	$0
Katherine Kaufman	NC	Rheumatology Physician	$83.7K	$0
Christopher Atkinson	NC	Internal Medicine Physician	$58.1K	$0