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 Moses H. Cone Memorial Hospital Operating Corporation (NPI 1336564863)

Field	Value
Entity Type	Organization
Organization	The Moses H. Cone Memorial Hospital Operating Corporation
Address	301 E Wendover Ave
City	Greensboro
State	NC
ZIP	27401
Taxonomy	Pediatrics Physician
NPI Enumerated	February 20, 2014

Payer Source	Total Paid
Medicaid	$21.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

87 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	68,400	$60	$4.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	653,400	$10	$3.9M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	26,880	$90	$2.3M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	24,590	$90	$2.2M
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…	18,770	$90	$1.7M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	67,310	$20	$1.3M
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	35,800	$30	$1.2M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	11,430	$100	$1.1M
D0145	N/A	19,520	$30	$624.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,550	$120	$311K

Showing 1–10 of 87

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 Moses H. Cone Memorial Hospital Operating Corporation — 15 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

87 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	34	2,850	10,910	$10	$330.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,309	1,710	810	$80	$274.5K
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…	199	4,400	960	$60	$271.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7	520	1,080	$80	$262.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8	550	970	$90	$258.9K
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…	40	4,130	670	$50	$219.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	20	590	490	$90	$179.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	192	380	460	$40	$173.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	73	530	270	$90	$112.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	6	630	840	$30	$101.2K

Showing 1–10 of 87

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Moses H. Cone Memorial Hospital Operating Corporation, 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
The Moses H Cone Memorial Hospital Operating Corporation	NC	Internal Medicine Physician	$0	$21.6M
Said Iskandar	VA	Cardiovascular Disease Physician	$462.9K	$0
Praveen Mannam	NC	Pulmonary Disease Physician	$197.4K	$0
Jagadeesh Ganji	NC	Cardiovascular Disease Physician	$157.3K	$0
Katarina Nelson	CO	Cardiovascular Disease Physician	$138.7K	$0
Shamika Huskey	NC	Family Nurse Practitioner	$127.7K	$0
Kirsten Cox	NC	Family Medicine Physician	$105.2K	$10.9K
Christopher Blackman	NC	Orthopaedic Surgery Physician	$112.5K	$0
Daniel Bensimhon	NC	Advanced Heart Failure and Transplant Cardiology Physician	$100.5K	$0

Nearby Providers

Other providers in the same ZIP code as The Moses H. Cone Memorial Hospital Operating Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alston Personal Care Service LLC	NC	In Home Supportive Care Agency	$0	$19.2M
Bayada Home Health Care, Inc.	NC	Developmental Disabilities Clinic/Center	$0	$16.8M
Morgan Support Services, Inc.	NC	Community/Behavioral Health Agency	$0	$12.6M
Guilford County Schools	NC	Local Education Agency (LEA)	$0	$12.5M
Shipman Family Home Care, Inc	NC	Home Health Agency	$0	$10.2M
Alison J Mcmillian	NC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$10M
Rachel Perenits Dds PA	NC	Dentist	$0	$8.6M
Greensboro Radiology, PA	NC	Diagnostic Radiology Physician	$0	$7.7M
Family Solutions, PLLC	NC	Community/Behavioral Health Agency	$0	$7.1M
Nathan Haines	NC	Retina Specialist (Ophthalmology) Physician	$1.4M	$140

The Moses H. Cone Memorial Hospital Operating Corporation — Billing Profile & Reimbursement Data

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The Moses H. Cone Memorial Hospital Operating Corporation — 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