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 1346297892)

Key Findings

Field	Value
Entity Type	Organization
Organization	The Charlotte-mecklenburg Hospital Authority
Address	8800 N Tryon St
City	Charlotte
State	NC
ZIP	28262
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicaid	$42.8M
Medicare	$0

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY operates as a general acute care hospital and its Medicaid billing profile is overwhelmingly driven by emergency department evaluation-and-management services; the top three Medicaid codes are 99283 ($15.7M revenue, 76.3K claims, 37.3% of Medicaid revenue), 99284 ($13.2M revenue, 67.2K claims, 31.3% of Medicaid revenue), and 99285 ($4.2M revenue, 21.6K claims, 10.1% of Medicaid revenue). Precomputed concentration shows the top 3 codes account for 78.6% of this provider's total Medicaid revenue, which signals that ED visit volume and acuity mix are the core service line and primary revenue drivers for the facility.

Revenue concentration risk is high because the top three ED E/M codes represent the bulk of Medicaid dollars; with $42.8M total Medicaid revenue on file and 78.6% coming from 99283/99284/99285, payer exposure and operational performance will be tightly linked to ED utilization patterns and reimbursement for those codes. Analysts should treat any changes in ED visit volumes, coding policy, or state reimbursement for these codes as material to overall revenue.

This provider is effectively single-payer in the dataset: there is no Medicare billing on file, so all reported federal-program revenue in the record is Medicaid ($42.8M). The absence of Medicare activity implies limited or no captured Medicare inpatient/outpatient revenue in these data and concentrates competitive and payment risk within the Medicaid market.

On a statewide competitive basis the hospital is a major provider of lower- and moderate-acuity ED care: 99283 ranks #18 of 316 in-state and is in the 95th percentile, while 99284 ranks #23 of 325 (93rd percentile) and 99285 ranks #43 of 281 (85th percentile). These ranks indicate above-typical state volume for ED services, particularly for 99283 and 99284, supporting the view that the facility is a high-volume ED destination compared with peers.

Beyond ED E/Ms, the hospital shows several diagnostic and ancillary service outliers that support a busy outpatient testing operation: 87636 (multiplex SARS–CoV‑2/flu A/B) has 20.3K claims and $3.3M revenue and ranks #4 of 78 (96th percentile), and U0003 (SARS‑CoV‑2 high-throughput testing) appears with 3.9K claims and $305.1K revenue. These elevated testing volumes suggest the facility handles large-scale respiratory testing and lab throughput in addition to ED care.

There are discrete, extreme-volume signals in specific low-dollar, high-count services: 81025 (urine pregnancy test) shows 25.9K claims and $207.2K revenue and ranks #4 of 574 in-state (99th percentile; labeled an "extreme outlier"). High claim counts on simple diagnostic or drug administration codes (for example, 85025, 80053, 96374) further reflect substantial outpatient throughput and frequent point-of-care testing/medication administrations tied to ED and observation workflows.

Several drug-administration and pharmacy codes register notably above-typical state volumes, reinforcing the ED/observation operating model: 96374 has 23.6K claims and $353.5K revenue (rank #10 of 118, 92nd percentile, notably above typical), J8499 ranks #2 of 38 (97th percentile) with 36.1K claims and $72.1K revenue, and 96375 ranks #11 of 113 (91st percentile). These patterns point to intensive parenteral medication and pharmacy activity consistent with high ED/acute outpatient throughput.

The provider has a long tenure in the NPI registry (NPI enumerated 2006-05-30 (~20 years ago)), which provides a stable administrative history; combined with the high in-state ranks on several codes, this suggests an established regional presence focused on ED-driven Medicaid business rather than balanced Medicare/Medicaid mix. Analysts should treat the facility as a long-standing, Medicaid-centric acute care provider with concentrated exposure to emergency services and high-volume outpatient testing.

Medicaid: Complete Services Breakdown

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

101 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.	76,250	$210	$15.7M
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.	67,160	$200	$13.2M
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.	21,600	$200	$4.2M
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…	20,290	$170	$3.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	720	$1,630	$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…	20,520	$30	$636K
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…	21,430	$30	$621.5K
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.	39,200	$10	$392K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	45,210	$10	$361.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	23,570	$20	$353.5K

Showing 1–10 of 101

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

101 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…	11	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.	23	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…	32	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.	18	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.	43	280	2,690	$130	$1.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	15	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.	265	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	35	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	48	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.	47	190	560	$20	$609.8K

Showing 1–10 of 101

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acumen Of North Carolina, LLC	NC	In Home Supportive Care Agency	$0	$134.4M
Care Well Of Charlotte Inc	NC	In Home Supportive Care Agency	$0	$74.4M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$40.8M
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$38.2M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$37.5M
Valleygate Dental Surgery Center Of Charlotte LLC	NC	Ambulatory Surgical Clinic/Center	$0	$26.3M
Infinium Health Services LLC	NC	Nursing Care Agency	$0	$18.3M
Continuum Care Services, Inc.	NC	Community/Behavioral Health Agency	$0	$16.1M
Novant Health Medical Group, LLC	NC	Internal Medicine Physician	$0	$15.3M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Case Management Agency	$0	$15.1M

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$58.1M
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	$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	Pediatrics Physician	$0	$8.1M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$7.3M
Arman Farr	SC	Retina Specialist (Ophthalmology) Physician	$2M	$0