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.

Carolinas Medical Center (NPI 1275774333)

Carolinas Medical Center is a obstetrics & gynecology physician provider located in Charlotte, North Carolina. This profile covers 0 Medicare and 45 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	Carolinas Medical Center
Address	1350 S Kings Dr
City	Charlotte
State	NC
ZIP	28207
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	March 18, 2009

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	8,470	$610	$5.2M
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	2,590	$600	$1.5M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	19,680	$50	$1.1M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	11,180	$50	$558.8K
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…	16,240	$30	$535.9K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	70,750	$10	$495.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	16,270	$30	$455.7K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	4,420	$60	$278.2K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	8,910	$30	$231.7K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	12,240	$20	$220.3K

Showing 1–10 of 45

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

Carolinas Medical Center — 11 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1	30	50	$620	$410.2K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	44	50	70	$1,220	$332.9K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	473	2,850	10,910	$10	$330.3K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	13	60	1,440	$110	$309.4K
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…	1,399	4,400	960	$60	$271.3K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	1	10	90	$490	$237.7K
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…	249	4,130	670	$50	$219.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	106	340	260	$60	$187.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8	160	420	$60	$183K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	28	510	480	$40	$166.3K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orthocarolina	NC	Orthopaedic Surgery Physician	$0	$12.3M
Inpatient Consultants Of North Carolina, PC	NC	Internal Medicine Physician	$0	$12.1M
Waveco LLC	NC	Ambulatory Surgical Clinic/Center	$1.6M	$0
Andrew Laster	NC	Rheumatology Physician	$1.5M	$0
Justin Favaro	NC	Hematology & Oncology Physician	$1.2M	$0
Nasfat Shehadeh	NC	Hematology & Oncology Physician	$700K	$0
Charlotte Gastroenterology & Hepatology, PLLC	NC	Ambulatory Surgical Clinic/Center	$407.5K	$90.2K
Omar Behery	NC	Orthopaedic Surgery Physician	$446.2K	$220
Anthony Kwon	NC	Orthopaedic Surgery Physician	$371.3K	$0
Amit Om	NC	Dermatology Physician	$334.7K	$0

Carolinas Medical Center — Billing Profile & Reimbursement Data

Sign up for Carolinas Medical Center — Billing Profile & Reimbursement Data policy alerts

Carolinas Medical Center — Billing Profile & Reimbursement Data

Sign up for Carolinas Medical Center — 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
Carolinas Medical Center	NC	General Acute Care Hospital	$0	$178.2M
Carolinas Medical Center	NC	Surgical Critical Care Physician	$0	$52.9M
Carolinas Physicians Network Inc	NC	Psychologist	$0	$29.4M
Carolinas Medical Center	NC	Psychiatric Hospital Unit	$0	$20.6M
Carolinas Medical Center	NC	Pediatrics Physician	$0	$17.8M
Carolinas Medical Center	NC	Ambulance	$0	$17M
Carolinas Medical Center	NC	General Practice Physician	$0	$16.6M
Carolinas Medical Center	NC	Child & Adolescent Psychiatry Physician	$0	$16.6M
Carolinas Physicians Network Inc.	NC	Vascular Surgery Physician	$0	$8.9M
University Pediatrics	NC	Pediatrics Physician	$0	$8.1M