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.

Cumberland County Hospital System Inc (NPI 1265656458)

Field	Value
Entity Type	Organization
Organization	Cumberland County Hospital System Inc
Address	1706 Cedar Creek Rd
City	Fayetteville
State	NC
ZIP	28312
Taxonomy	Case Management Agency
NPI Enumerated	April 12, 2007

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	50,500	$110	$5.6M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	16,130	$120	$1.9M
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	1,220	$70	$83K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	810	$70	$58.1K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	1,810	$20	$43.4K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	750	$40	$27.1K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	300	$80	$25.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	190	$10	$970

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

Cumberland County Hospital System Inc — 2 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	4	230	3,210	$110	$1.1M
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	7	120	2,780	$150	$966.8K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	24	60	530	$50	$669.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	2,525	2,850	10,910	$10	$330.3K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	31	70	610	$130	$243.7K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	40	100	900	$90	$204.5K
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include…	40	60	780	$90	$143K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	13	30	1,810	$20	$101.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cumberland County Hospital System Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cumberland County Hospital System Inc	NC	General Acute Care Hospital	$0	$75.8M
Cumberland County Hospital System Inc	NC	Ambulance	$4.3M	$19.7M
Cumberland County Hospital System Inc	NC	Psychiatry Physician	$0	$8.7M
Cumberland County Hospital System Inc	NC	Internal Medicine Physician	$0	$8M
Kristin Holbrook	NC	Nurse Practitioner	$982.5K	$0
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Shilpa Sambidi	NY	Hematology & Oncology Physician	$847.8K	$39.4K
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Rachel Nelson	TN	Diagnostic Radiology Physician	$383.2K	$0
Alexander Harvin	IA	Diagnostic Radiology Physician	$353.1K	$0

Cumberland County Hospital System Inc — Billing Profile & Reimbursement Data

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Cumberland County Hospital System 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

Frequently Asked Questions

References