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.

Mission Health Community Multispecialty Providers, LLC (NPI 1366912586)

Field	Value
Entity Type	Organization
Organization	Mission Health Community Multispecialty Providers, LLC
Address	310 Long Shoals Rd Ste 110
City	Arden
State	NC
ZIP	28704
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 30, 2018

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

168 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…	86,340	$50	$4.4M
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…	18,950	$100	$1.8M
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…	28,950	$60	$1.8M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	6,130	$280	$1.7M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	290,490	$10	$1.5M
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…	36,410	$30	$1.2M
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…	6,450	$170	$1.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	10,780	$90	$969.8K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	9,890	$90	$840.2K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	5,910	$140	$839.4K

Showing 1–10 of 168

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

Mission Health Community Multispecialty Providers, LLC — 14 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

168 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.	186	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.	168	320	6,160	$120	$2.1M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	6	20	2,430	$300	$1.5M
T1015	Clinic visit/encounter, all-inclusive	398	530	2,970	$100	$964.2K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	7	20	3,950	$100	$740.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	100	160	490	$100	$435.6K
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.	82	150	1,340	$80	$395.9K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	4	20	2,270	$90	$369.8K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	4	40	1,080	$110	$365.2K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	113	2,850	10,910	$10	$330.3K

Showing 1–10 of 168

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mission Health Community Multispecialty Providers, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chippenham & Johnston-willis Hospitals Inc	VA	General Acute Care Hospital	$0	$103.7M
Hca Health Services Of Virginia Inc	VA	General Acute Care Hospital	$0	$64.5M
Columbia/hca John Randolph, Inc.	VA	General Acute Care Hospital	$0	$49.1M
El Paso Healthcare System Ltd	TX	General Acute Care Hospital	$0	$38.5M
Spotsylvania Medical Center Inc	VA	General Acute Care Hospital	$0	$31M
Columbia Medical Center Of Arlington Subsidiary LP	TX	General Acute Care Hospital	$0	$21.8M
Columbia Hospital At Medical City Dallas Subsidiary LP	TX	General Acute Care Hospital	$0	$21.5M
Lewis Gale Physicians LLC	VA	Internal Medicine Physician	$0	$20.6M
Moore Pediatric Therapy Serivces	NC	Specialist	$0	$19.1M
Reston Hospital Center LLC	VA	General Acute Care Hospital	$0	$14.9M

Nearby Providers

Other providers in the same ZIP code as Mission Health Community Multispecialty Providers, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Aeroflow Urology, LLC	NC	Durable Medical Equipment & Medical Supplies	$0	$10.6M
Christopher Urban	NC	Procedural Dermatology Physician	$552.4K	$0
Sanesco International Inc.	NC	Clinical Medical Laboratory	$116.9K	$351.2K
Michael Cogburn	NC	Dermatology Physician	$357.3K	$0
Joel Callahan	NC	Neurology Physician	$234.5K	$0
Jay Clarke	NC	Physician Assistant	$228K	$0
Scott Girard	NC	Internal Medicine Physician	$215.3K	$0
Ashley Ruiz	NC	Nurse Practitioner	$200.4K	$0
Sarah Cash	NC	Dermatology Physician	$164.9K	$0

Mission Health Community Multispecialty Providers, LLC — Billing Profile & Reimbursement Data

Sign up for Mission Health Community Multispecialty Providers, LLC — Billing Profile & Reimbursement Data policy alerts

Mission Health Community Multispecialty Providers, LLC — Billing Profile & Reimbursement Data

Sign up for Mission Health Community Multispecialty Providers, LLC — 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