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    OpenPayerNPI Medicare & MedicaidColumbus Regional Healthcare System
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    Columbus Regional Healthcare System — Billing Profile & Reimbursement Data

    NPI 1376537555 · Whiteville, NC · General Acute Care Hospital

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    Columbus Regional Healthcare System is a general acute care hospital provider located in Whiteville, North Carolina. This profile covers 0 Medicare and 174 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationColumbus Regional Healthcare System
    Address500 Jefferson St
    CityWhiteville
    StateNC
    ZIP28472
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedSeptember 2, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    174 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.24,370$190$4.6M
    99283The 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.25,370$140$3.5M
    99285The 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.15,080$230$3.4M
    0202UThis is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…3,140$130$405.2K
    0241UN/A2,310$160$377K
    93005The 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…11,060$30$331.9K
    0240UN/A1,930$140$276.1K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…8,470$30$228.6K
    85025A 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…37,490$10$224.9K
    G0463Hospital outpatient clinic visit for assessment and management of a patient15,510$10$201.6K

    Showing 1–10 of 174

    • More pages

    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.

    Full comparison — all codes billed, vs. North Carolina median

    174 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.793306,130$130$2.7M
    U0003Infectious 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…55160840$70$2.3M
    99283The 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.723206,160$120$2.1M
    99285The 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.642802,690$130$1.6M
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.1740480$40$1.4M
    87798The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…3180420$30$1.2M
    87661The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.2570280$20$896.7K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1623601,830$40$819.8K
    G0463Hospital outpatient clinic visit for assessment and management of a patient24904,210$30$676.8K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.64190530$20$635.1K

    Showing 1–10 of 174

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Columbus Regional Healthcare System, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Francis PecoraroNCInterventional Pain Medicine Physician$569.7K$0
    Rachel NelsonTNDiagnostic Radiology Physician$383.2K$0
    Matej PolomskyNCOphthalmology Physician$368.9K$0
    Alexander HarvinIADiagnostic Radiology Physician$353.1K$0
    George EscaravageNCOphthalmology Physician$332.4K$0
    Christopher CovingtonNCOphthalmology Physician$328K$0
    Carolyn MaynorNCDiagnostic Radiology Physician$277.5K$0
    Travis PetreeNDDiagnostic Radiology Physician$275.7K$0
    Raymond GaskinsNCFamily Medicine Physician$234.9K$0
    Andrew CiccarelliMADiagnostic Radiology Physician$220.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Columbus Regional Healthcare System, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community InnovationsNCCommunity/Behavioral Health Agency$0$73.8M
    Carolinas Home Care Agency, Inc.NCCommunity/Behavioral Health Agency$0$45.9M
    Advantage Behavioral Healthcare Inc.NCMental Health Counselor$0$20.1M
    Homecare Management CorporationNCCommunity/Behavioral Health Agency$0$16.8M
    Interim Healthcare Of The Eastern Carolinas, IncNCIn Home Supportive Care Agency$0$10.9M
    Rachel TedescoNCNurse Practitioner$5.7M$0
    Jeffrey CouryNCFacial Plastic Surgery Physician$508.5K$0
    Rene BermudezNCMOHS-Micrographic Surgery Physician$460.6K$0
    David SuttonNCOphthalmology Physician$437.5K$6.7K
    Columbus County Ems, IncNCLand Ambulance$327.6K$110.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Columbus Regional Healthcare System — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina