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.

Carolinas Medical Center (NPI 1356689996)

Carolinas Medical Center is a child & adolescent psychiatry physician provider located in Charlotte, North Carolina. This profile covers 0 Medicare and 56 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Carolinas Medical Center
Address	501 Billingsley Rd
City	Charlotte
State	NC
ZIP	28211
Taxonomy	Child & Adolescent Psychiatry Physician
NPI Enumerated	January 16, 2013

Payer Source	Total Paid
Medicaid	$16.6M
Medicare	$0

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	65,670	$60	$4.1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	92,170	$40	$3.7M
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…	38,870	$60	$2.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	28,130	$70	$1.9M
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	4,340	$120	$521.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	4,830	$70	$333.5K
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…	3,920	$80	$305.4K
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…	9,400	$30	$300.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2,870	$100	$298.1K
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.	4,070	$70	$293.3K

Showing 1–10 of 56

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

Carolinas Medical Center — 12 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

56 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.	180	330	6,130	$130	$2.7M
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.	218	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.	248	280	2,690	$130	$1.6M
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.	153	150	1,340	$80	$395.9K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1,638	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…	20	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…	35	4,400	960	$60	$271.3K
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…	440	4,130	670	$50	$219.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	11	340	260	$60	$187.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	5	510	480	$40	$166.3K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Youth Network	NC	Community/Behavioral Health Agency	$0	$36.8M
David H. Moore, Dds,ms,pa	NC	Pediatric Dentistry	$0	$32M
Mid-atlantic Emergency Medical Associates, PLLC	NC	Emergency Medicine Physician	$0	$25.2M
Thompson Child And Family Focus	NC	Community/Behavioral Health Agency	$0	$24.1M
Mecklenburg County	NC	State or Local Public Health Clinic/Center	$0	$22.4M
Novant Health Medical Group LLC	NC	Pediatrics Physician	$0	$20.4M
Cooke And Mvula, PLLC	NC	Pediatric Dentistry	$0	$18.8M
Cotswold Family Medicine	NC	Family Medicine Physician	$0	$12.2M
Thompson Child And Family Focus	NC	Community/Behavioral Health Agency	$0	$10M
Mecklenburg County	NC	Case Management Agency	$0	$7.2M

Carolinas Medical Center — Billing Profile & Reimbursement Data

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Carolinas Medical Center — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolinas Medical Center	NC	General Acute Care Hospital	$0	$178.2M
Carolinas Medical Center	NC	Surgical Critical Care Physician	$0	$52.9M
Carolinas Physicians Network Inc	NC	Psychologist	$0	$29.4M
Carolinas Medical Center	NC	Psychiatric Hospital Unit	$0	$20.6M
Carolinas Medical Center	NC	Pediatrics Physician	$0	$17.8M
Carolinas Medical Center	NC	Ambulance	$0	$17M
Carolinas Medical Center	NC	General Practice Physician	$0	$16.6M
Carolinas Medical Center	NC	Obstetrics & Gynecology Physician	$0	$11.8M
Carolinas Physicians Network Inc.	NC	Vascular Surgery Physician	$0	$8.9M
University Pediatrics	NC	Pediatrics Physician	$0	$8.1M