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.

Evelyn Metz (NPI 1285094045)

Field	Value
Entity Type	Individual
Organization	Evelyn Metz
Address	155 Memorial Dr
City	Pinehurst
State	NC
ZIP	28374
Taxonomy	Nurse Practitioner
NPI Enumerated	March 7, 2016

Payer Source	Total Paid
Medicare	$11.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	70	$110	$7.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	10	$140	$1.7K
36010	The provider introduces a catheter into the superior or inferior vena cava to administer medication or perform a cardiac procedure, such as angiography, venography, or angioplasty.	10	$70	$820
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	10	$50	$700
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	10	$30	$320

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Evelyn Metz — 0 of 5 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. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	2,525	2,630	40	$160	$9.3K
99223	937	4,580	30	$130	$6.5K
36010	3	10	20	$220	$3.2K
36556	86	140	10	$60	$1K
36620	348	420	20	$30	$790

Related Providers

Other providers that share a Tax Identification Number (TIN) with Evelyn Metz, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Firsthealth Of The Carolinas, Inc.	NC	General Acute Care Hospital	$0	$61.5M
Southeastern Regional Medical Center	NC	General Acute Care Hospital	$0	$28.8M
Daniel Williams	NC	Orthopaedic Surgery of the Spine Physician	$1.2M	$0
Kishore Rasamallu	GA	Internal Medicine Physician	$1M	$0
Jeffrey Jones	NC	Diagnostic Radiology Physician	$697.7K	$0
Sean Whalen	NY	Nuclear Medicine Physician	$555.5K	$0
Christopher Tracy	NC	Rheumatology Physician	$485.7K	$0
Eric Lescault	NC	Orthopaedic Surgery Physician	$399.1K	$0
Robert Deucher	NC	Internal Medicine Physician	$323.7K	$0
Eric Frizzell	NC	Gastroenterology Physician	$247.3K	$0

Evelyn Metz — Billing Profile & Reimbursement Data

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Evelyn Metz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References