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.

Rural Health Group, Inc. (NPI 1255683157)

Field	Value
Entity Type	Organization
Organization	Rural Health Group, Inc.
Address	2064 Nc Highway 125
City	Roanoke Rapids
State	NC
ZIP	27870
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 3, 2012

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

68 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	28,210	$130	$3.6M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	122,900	$10	$983.2K
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…	5,680	$90	$500.1K
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…	5,220	$90	$453.9K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	2,750	$120	$332.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,520	$90	$331.1K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	9,510	$30	$237.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	14,510	$10	$174.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,540	$100	$153.7K
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…	1,390	$50	$70.9K

Showing 1–10 of 68

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

Rural Health Group, Inc. — 1 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	44	530	2,970	$100	$964.2K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	171	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.	170	190	560	$20	$609.8K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	25	80	750	$120	$449.7K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	52	90	250	$110	$352.3K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	284	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…	4,267	4,400	960	$60	$271.3K
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…	99	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…	91	550	970	$90	$258.9K
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…	1,118	4,130	670	$50	$219.9K

Showing 1–10 of 68

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rural Health Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ericka Taylor-daniel	DE	Psychiatric/Mental Health Nurse Practitioner	$17K	$0

Nearby Providers

Other providers in the same ZIP code as Rural Health Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spring Life Behavioral Care LLC	NC	Non-emergency Medical Transport (VAN)	$0	$37.4M
New Beginnings Day Treatment Center, LLC	NC	Developmentally Disabled Services Day Training Agency	$0	$16.4M
Park Avenue Pediatrics PA	NC	Pediatrics Physician	$0	$10.6M
Home Life Care Inc	NC	In Home Supportive Care Agency	$0	$10.3M
Able Home Health Care, LLC	NC	Personal Care Attendant	$0	$10.3M
Holt Assessment Services	NC	Community/Behavioral Health Agency	$0	$10.1M
Halifax Regional Medical Center Inc	NC	General Acute Care Hospital	$0	$9.6M
Morse Clinic Of Roanoke Rapids, PC	NC	Methadone Clinic	$73K	$2.5M
Brian Crichlow	NC	Ophthalmology Physician	$429.5K	$0
Ddp Pharmacy, Inc	NC	Community/Retail Pharmacy	$414.6K	$13.9K

Rural Health Group, Inc. — Billing Profile & Reimbursement Data

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Rural Health Group, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References