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.

High Point Regional Health (NPI 1396746228)

Field	Value
Entity Type	Organization
Organization	High Point Regional Health
Address	601 N Elm St
City	High Point
State	NC
ZIP	27262
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 2, 2005

Payer Source	Total Paid
Medicaid	$20.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

112 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	36,860	$260	$9.4M
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.	26,080	$170	$4.3M
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.	4,750	$390	$1.9M
0241U	N/A	3,750	$160	$595.8K
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…	55,970	$10	$447.7K
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.	40,620	$10	$406.1K
0240U	N/A	2,360	$170	$396.3K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	9,090	$30	$254.5K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	9,080	$30	$254.4K
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…	8,560	$30	$231.2K

Showing 1–10 of 112

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

High Point Regional Health — 2 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

112 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.	48	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.	67	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.	120	280	2,690	$130	$1.6M
87798	The 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…	53	80	420	$30	$1.2M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	557	640	4,280	$60	$983.2K
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	9	10	2,000	$40	$905.6K
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.	197	360	1,830	$40	$819.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	486	520	2,870	$70	$721.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	47	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	24	190	530	$20	$635.1K

Showing 1–10 of 112

Related Providers

Other providers that share a Tax Identification Number (TIN) with High Point Regional Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Greensboro Radiology, PA	NC	Diagnostic Radiology Physician	$0	$7.7M
Christopher Flye	NC	Diagnostic Radiology Physician	$1.7M	$0
Chad Engel	FL	Vascular & Interventional Radiology Physician	$1.1M	$0
Steven Hake	CO	Diagnostic Radiology Physician	$982.7K	$0
Kevin Duwe	AZ	Vascular & Interventional Radiology Physician	$857.5K	$8.5K
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Ammar Taha	WI	Diagnostic Radiology Physician	$410.5K	$380K
Kirk Minkus	AZ	Vascular & Interventional Radiology Physician	$736K	$0
Jeffrey Weeks	LA	Diagnostic Radiology Physician	$652.9K	$0

Nearby Providers

Other providers in the same ZIP code as High Point Regional Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bethany Medical Center	NC	Internal Medicine Physician	$0	$18.3M
Lamboy And Rubio, Dds, PA	NC	Dentist	$0	$16.9M
High Point Pediatrics	NC	Pediatrics Physician	$0	$10.7M
Aldona Ziolkowska	NC	Rheumatology Physician	$307.7K	$0
Christopher Conley	NC	Clinical Cardiac Electrophysiology Physician	$235.1K	$0
Kenneth Lennon	NC	Orthopaedic Surgery Physician	$153.7K	$0
Yatwah Leung	NC	Radiation Oncology Physician	$135K	$0
Patrick Hranitzky	NC	Clinical Cardiac Electrophysiology Physician	$119.6K	$0
Paul Coughlin	NC	Urology Physician	$101.3K	$0
Richard Puschinsky	NC	Urology Physician	$98.4K	$0

High Point Regional Health — Billing Profile & Reimbursement Data

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High Point Regional Health — 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