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.

The Charlotte-mecklenburg Hospital Authority (NPI 1326442336)

Field	Value
Entity Type	Organization
Organization	The Charlotte-mecklenburg Hospital Authority
Address	201 E Grover St
City	Shelby
State	NC
ZIP	28150
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 20, 2014

Payer Source	Total Paid
Medicaid	$58.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused hospital: there is no Medicare billing on file while total Medicaid revenue is reported as $58.1M, so analyses of Medicare performance or national Medicare benchmarking are not possible from these data alone. The absence of Medicare claims makes the facility a de facto single‑payer (Medicaid) entity for the period covered, which concentrates contract and utilization risk on state Medicaid arrangements.

Revenue is highly concentrated in a small set of emergency department E/M codes: the precomputed top 3 codes account for 82.3% of the provider’s total Medicaid revenue. Those top three are 99283 ($23.1M, 41.3%), 99284 ($17.4M, 31.0%), and 99285 ($5.7M, 10.1%), indicating the bulk of dollars flow from ED visit services rather than elective or outpatient specialty procedures.

The code mix indicates an operational emphasis on emergency care across acuity levels: 99283 (86.7K claims, $267 avg paid/claim), 99284 (69.2K claims, $251 avg paid/claim), and 99285 (25K claims, $227 avg paid/claim) together show very large ED visit volumes from low- through high-complexity encounters. This pattern suggests the facility functions as a high-throughput ED where E/M visits drive both encounter volume and revenue rather than physician clinic or inpatient DRG activity.

State-level competitive standing for ED volumes is elevated but uneven by acuity: 99283 ranks #13 of 316 providers in-state (96th percentile; notably above typical state volume for this code), while 99284 ranks #21 of 325 (94th percentile; typical, unremarkable volume) and 99285 ranks #35 of 281 (88th percentile; typical, unremarkable volume). In plain terms, the provider is a major statewide source of lower‑to‑moderate acuity ED encounters and above-typical for certain ED service categories, but less dominant for the highest-acuity ED visits.

There are strong ancillary and throughput signals consistent with heavy ED and outpatient infusion activity: 96374 (36.2K claims, $20 avg paid/claim, $723.9K revenue) ranks #3 of 118 providers in-state (98th percentile; extreme outlier) and 96375 (23.7K claims, $6 avg paid/claim, $142.4K revenue) ranks #2 of 113 (99th percentile; extreme outlier). High volumes of IV medication administration paired with extensive basic lab and imaging volumes—e.g., 93005 (25.6K claims, 93th percentile; notably above typical state volume) and 85025 (45.8K claims, 95th percentile)—support a picture of rapid diagnostic and treatment throughput tied to ED operations.

Several other commonly billed hospital codes also appear at or above typical state volumes, reinforcing breadth of outpatient services: examples include 93005 (25.6K claims, $1.0M revenue, 93th percentile; notably above typical state volume), 85025 (45.8K claims, $320.5K revenue, 95th percentile; typical), and J3490 (77.3K claims, $463.8K revenue, 90th percentile; typical). These patterns point to a facility that handles large counts of routine diagnostics and medication charges in addition to ED visits, which will be material when modeling utilization drivers or negotiating Medicaid network arrangements.

The provider has an established enrollment history—NPI enumerated 2014-10-20 (~12 years ago)—so observed utilization patterns reflect multiple years of presence in the state market. However, the lack of any Medicare billing on file is a critical data limitation for payers or analysts seeking cross-payer performance comparisons or national-market positioning; assessments should therefore be framed primarily around Medicaid activity and state peer comparisons.

Medicaid: Complete Services Breakdown

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

154 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.	86,690	$270	$23.1M
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.	69,200	$250	$17.4M
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.	25,000	$230	$5.7M
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.	19,310	$60	$1.2M
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…	25,590	$40	$1M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	6,740	$140	$950.9K
T1016	Case management, each 15 minutes	10,560	$70	$739.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	36,200	$20	$723.9K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	27,140	$30	$678.4K
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…	7,070	$90	$608.3K

Showing 1–10 of 154

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

The Charlotte-mecklenburg Hospital Authority — 3 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

154 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0330	Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…	13	10	200	$1,440	$3.6M
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.	21	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…	25	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.	13	320	6,160	$120	$2.1M
G0483	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…	94	110	1,450	$110	$1.7M
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.	35	280	2,690	$130	$1.6M
T1016	Case management, each 15 minutes	64	230	3,210	$110	$1.1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	558	640	4,280	$60	$983.2K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	30	120	2,780	$150	$966.8K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	20	40	420	$1,080	$841K

Showing 1–10 of 154

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Charlotte-mecklenburg Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$56.5M
Carolinas Medical Center	NC	Surgical Critical Care Physician	$0	$52.9M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$42.8M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$38.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.7M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$15.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$9.8M
The Charlotte-mecklenburg Hospital Authority	NC	Pediatrics Physician	$0	$8.1M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$7.3M

Nearby Providers

Other providers in the same ZIP code as The Charlotte-mecklenburg Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolinas Physicians Network Inc	NC	Psychologist	$0	$29.4M
One On One Care Inc	NC	Community/Behavioral Health Agency	$0	$18.4M
Webb Orthodontics	NC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$13.9M
Cleveland Vocational Industries, Inc.	NC	Community/Behavioral Health Agency	$0	$10.2M
Life Enrichment Center Of Cleveland County, Inc.	NC	Adult Day Care Clinic/Center	$0	$9.9M
Carolinas Emergency Physicians, P.A.	NC	Emergency Medicine Physician	$0	$9.1M
Families First Support Services, LLC	NC	Community/Behavioral Health Agency	$0	$7.4M
County Of Cleveland North Carolina	NC	Land Ambulance	$1.4M	$5.7M
Cleveland Ambulatory Services, LLC	NC	Ambulatory Surgical Clinic/Center	$304.1K	$798.9K
Morganton Eye Physicians, P.A.	NC	Ambulatory Surgical Clinic/Center	$695.7K	$255K

The Charlotte-mecklenburg Hospital Authority — Billing Profile & Reimbursement Data

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The Charlotte-mecklenburg Hospital Authority — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References