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.

Alamance Regional Medical Center, Inc. (NPI 1326010273)

Field	Value
Entity Type	Organization
Organization	Alamance Regional Medical Center, Inc.
Address	1240 Huffman Mill Rd
City	Burlington
State	NC
ZIP	27215
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 5, 2006

Payer Source	Total Paid
Medicaid	$30.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

126 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30,380	$320	$9.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	32,440	$230	$7.5M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30,240	$170	$5M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,720	$950	$1.6M
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…	19,780	$50	$910.1K
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)…	5,390	$170	$905K
99203	The provider sees a new 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 provider…	9,070	$70	$653.3K
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…	9,840	$50	$462.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	10,130	$40	$435.5K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	19,040	$20	$399.8K

Showing 1–10 of 126

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

Alamance Regional Medical Center, Inc. — 4 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

126 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	52	330	6,130	$130	$2.7M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	35	160	840	$70	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	56	320	6,160	$120	$2.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	29	280	2,690	$130	$1.6M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	75	80	420	$30	$1.2M
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	50	70	280	$20	$896.7K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	6	40	420	$1,080	$841K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	249	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	30	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	152	190	530	$20	$635.1K

Showing 1–10 of 126

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alamance Regional Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Moses H. Cone Memorial Hospital Operating Corporation	NC	General Acute Care Hospital	$0	$133.5M
Timmothy Randell	LA	Orthopaedic Surgery Physician	$561.1K	$0
Glenn Chrystal	NC	Radiation Oncology Physician	$204.7K	$0
Brian Chen	NC	Vascular Surgery Physician	$139.4K	$0
Daniel Bensimhon	NC	Advanced Heart Failure and Transplant Cardiology Physician	$100.5K	$0
David Jang	NC	Otolaryngology Physician	$92.2K	$0
Dalton Mclean	NC	Advanced Heart Failure and Transplant Cardiology Physician	$91.4K	$0
Reena Baharani	TN	Psychiatry Physician	$68.3K	$460
Feras Ackall	NC	Otolaryngology Physician	$68.1K	$0
Jessica Hoffman	NC	Internal Medicine Physician	$61.8K	$0

Nearby Providers

Other providers in the same ZIP code as Alamance Regional Medical Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$0	$264.7M
Laboratory Corporation Of America	NC	Clinical Medical Laboratory	$0	$59.4M
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$490.7K	$15.6M
Pinnacle Family Services Of North Carolina LLC	NC	Community/Behavioral Health Agency	$0	$12M
Alpha Diagnostics, LLC	NC	Clinical Medical Laboratory	$11M	$1M
A.r.t. Home Care, LLC	NC	In Home Supportive Care Agency	$0	$10M
Rha Behavioral Health Nc LLC	NC	Community/Behavioral Health Agency	$0	$10M
International Family Clinic	NC	Pediatrics Physician	$0	$8.5M
Grove Park Pediatrics	NC	Pediatrics Physician	$0	$8.5M

Alamance Regional Medical Center, Inc. — Billing Profile & Reimbursement Data

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Alamance Regional Medical Center, 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