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.

Dlp Harris Regional Hospital LLC (NPI 1407962046)

Dlp Harris Regional Hospital LLC is a general acute care hospital provider located in Sylva, North Carolina. This profile covers 0 Medicare and 116 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	Dlp Harris Regional Hospital LLC
Address	68 Hospital Rd
City	Sylva
State	NC
ZIP	28779
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

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

116 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	12,090	$140	$1.7M
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.	12,870	$90	$1.2M
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.	10,400	$110	$1.1M
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.	1,170	$340	$396.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	6,510	$50	$344.8K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	1,230	$270	$332.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	340	$890	$300.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,540	$40	$294.2K
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…	10,110	$30	$283.2K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	260	$960	$251K

Showing 1–10 of 116

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

Dlp Harris Regional Hospital LLC — 0 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

116 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.	129	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…	110	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.	113	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.	77	280	2,690	$130	$1.6M
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	26	40	480	$40	$1.4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	146	170	2,470	$140	$1.2M
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	35	70	280	$20	$896.7K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	25	40	420	$1,080	$841K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	61	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	51	190	530	$20	$635.1K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Javid Baksh	NC	Pain Medicine (Anesthesiology) Physician	$869.7K	$4.2K
Jarred Tanksley	NC	Therapeutic Radiology Physician	$179.9K	$0
Edward Lewis	NC	Anesthesiology Physician	$77.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smoky Mountain Center For Mh/dd/sas	NC	Health Maintenance Organization	$0	$51.5M
Dlp Western Carolina Physician Practices LLC	NC	Internal Medicine Physician	$0	$14M
Meridian Behavioral Health Services, Inc.	NC	Community/Behavioral Health Agency	$0	$9.7M
Skyland House, LLC	NC	Adult Care Home Facility	$0	$7.2M
John Buenting	NC	Otolaryngology Physician	$325.9K	$0
Shawn Kosnik	NC	Otolaryngology Physician	$316.8K	$0
Ofelia Balta	NC	Internal Medicine Physician	$270.2K	$0
Roy Gallinger	NC	Family Medicine Physician	$259K	$0
Clifford Mault	NC	Internal Medicine Physician	$97.8K	$116.3K
Leslie Norris	NC	Family Nurse Practitioner	$190.2K	$0

Dlp Harris Regional Hospital LLC — Billing Profile & Reimbursement Data

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Dlp Harris Regional Hospital LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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