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.

Unc Rockingham Health Care, Inc. (NPI 1326048810)

Field	Value
Entity Type	Organization
Organization	Unc Rockingham Health Care, Inc.
Address	117 E Kings Hwy
City	Eden
State	NC
ZIP	27288
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 26, 2005

Payer Source	Total Paid
Medicaid	$10.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

105 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	34,080	$130	$4.3M
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.	11,490	$200	$2.3M
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.	2,690	$250	$666.6K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	5,530	$120	$657.8K
0241U	N/A	2,330	$130	$300.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,690	$110	$296.2K
J3490	Unclassified drugs	56,830	$10	$284.2K
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…	6,220	$20	$124.3K
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.	2,420	$50	$123.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	18,740	$10	$112.4K

Showing 1–10 of 105

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

Unc Rockingham Health Care, Inc. — 0 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

105 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.	126	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…	116	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.	46	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.	141	280	2,690	$130	$1.6M
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	30	70	280	$20	$896.7K
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.	163	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	73	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	84	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.	84	190	560	$20	$609.8K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	116	150	860	$50	$586.6K

Showing 1–10 of 105

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of North Carolina At Chapel Hill	NC	Anesthesiology Physician	$0	$87.6M
University Of North Carolina Hospitals At Chapel Hill	NC	General Acute Care Hospital	$0	$50.7M
Unc Physicians Network LLC	NC	General Practice Physician	$0	$47M
Caldwell Memorial Hospital, Inc.	NC	General Acute Care Hospital	$0	$28.8M
Rex Hospital Inc.	NC	General Acute Care Hospital	$0	$25.3M
University Of North Carolina Hospitals At Chapel Hill	NC	Durable Medical Equipment & Medical Supplies	$0	$7.8M
Caldwell Memorial Hospital, Inc	NC	Pediatrics Physician	$0	$7.3M
John Deans	NC	Ophthalmology Physician	$2.4M	$0
Rex Hospital, Inc.	NC	Land Ambulance	$1M	$204K
Orthopaedic Surgery Center Of Raleigh LLC	NC	Orthopaedic Surgery Physician	$1.1M	$0

Nearby Providers

Other providers in the same ZIP code as Unc Rockingham Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dayspring Family Medicine	NC	Family Medicine Physician	$0	$9.2M
Moses Cone Affiliated Physicians, Inc.	NC	Pediatrics Physician	$0	$8.1M
Dhruv Vyas	NC	Internal Medicine Physician	$336.8K	$0
Ashish Shah	NC	Internal Medicine Physician	$296.5K	$0
Gina Varner	NC	Family Nurse Practitioner	$268.8K	$4.2K
Clarence Beavers	NC	Dermatology Physician	$260.6K	$0
Terry Daniel	NC	Family Medicine Physician	$173.9K	$4.1K
Eden Drug Inc	NC	Durable Medical Equipment & Medical Supplies	$130.7K	$0
Paul Sasser	NC	Family Medicine Physician	$100.2K	$6.2K
Brad Bauer	NC	Urology Physician	$63.9K	$0

Unc Rockingham Health Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Unc Rockingham Health Care, Inc. — Billing Profile & Reimbursement Data policy alerts

Unc Rockingham Health Care, Inc. — Billing Profile & Reimbursement Data

Sign up for Unc Rockingham Health Care, Inc. — 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