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.

The Charlotte-mecklenburg Hospital Authority (NPI 1417432840)

Field	Value
Entity Type	Organization
Organization	The Charlotte-mecklenburg Hospital Authority
Address	10628 Park Rd
City	Charlotte
State	NC
ZIP	28210
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 2, 2018

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

150 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	30,730	$150	$4.6M
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.	29,830	$130	$3.8M
J3490	Unclassified drugs	30,190	$80	$2.5M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	8,030	$120	$971K
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.	19,610	$50	$921.8K
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.	11,810	$70	$874K
J8499	Prescription drug, oral, non chemotherapeutic, nos	13,190	$60	$778.4K
J2270	Injection, morphine sulfate, up to 10 mg	2,530	$230	$574.1K
J2250	Injection, midazolam hydrochloride, per 1 mg	1,640	$320	$520.6K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	8,540	$60	$503.8K

Showing 1–10 of 150

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

The Charlotte-mecklenburg Hospital Authority — 1 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

150 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.	61	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…	52	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.	54	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.	80	280	2,690	$130	$1.6M
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.	209	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	45	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	56	190	530	$20	$635.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	57	190	560	$20	$609.8K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	81	150	860	$50	$586.6K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	9	80	750	$120	$449.7K

Showing 1–10 of 150

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Charlotte-mecklenburg Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$58.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$56.5M
Carolinas Medical Center	NC	Surgical Critical Care Physician	$0	$52.9M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$42.8M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$38.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.7M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$15.1M
The Charlotte-mecklenburg Hospital Authority	NC	Pediatrics Physician	$0	$8.1M
Carolinas Physicians Network Inc	NC	Pediatrics Physician	$0	$7.3M
Arman Farr	SC	Retina Specialist (Ophthalmology) Physician	$2M	$0

Nearby Providers

Other providers in the same ZIP code as The Charlotte-mecklenburg Hospital Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Physicians Of Mecklenburg County, PLLC	NC	Emergency Medicine Physician	$0	$43.1M
Charlotte Eye Ear Nose & Throat Associates, P.A.	NC	Ophthalmology Physician	$0	$20.4M
Afc Urgent Care And Family Care Of Wnc, PLLC	NC	Urgent Care Clinic/Center	$0	$9.4M
Hammock, Dmd & Lotakis, Dds Ix, PLLC	NC	Dentist	$0	$7.9M
Bevin K Malley Dds PA	NC	Pediatric Dentistry	$0	$7.5M
Justin Brown	NC	Ophthalmology Physician	$5M	$0
Southpark Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$2.1M	$2.8M
Omar Punjabi	NC	Ophthalmology Physician	$2.3M	$0
Ronald Milam	NC	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Duncan Berry	NC	Ophthalmology Physician	$1.3M	$0

The Charlotte-mecklenburg Hospital Authority — Billing Profile & Reimbursement Data

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The Charlotte-mecklenburg Hospital Authority — 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