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.

Iredell Memorial Hospital, Incorporated (NPI 1417944224)

Field	Value
Entity Type	Organization
Organization	Iredell Memorial Hospital, Incorporated
Address	557 Brookdale Dr
City	Statesville
State	NC
ZIP	28677
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 6, 2005

Payer Source	Total Paid
Medicaid	$12.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

83 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.	26,880	$180	$4.7M
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.	18,110	$190	$3.4M
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.	4,540	$250	$1.1M
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.	5,210	$120	$630.5K
0241U	N/A	3,140	$150	$461.4K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	140	$2,050	$291.7K
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…	9,350	$30	$243.1K
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.	24,360	$10	$170.5K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	1,730	$100	$166.5K
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…	25,630	$10	$153.8K

Showing 1–10 of 83

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

Iredell Memorial Hospital, Incorporated — 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

83 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.	103	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.	65	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.	123	280	2,690	$130	$1.6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	29	40	420	$1,080	$841K
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.	263	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	68	90	4,210	$30	$676.8K
0241U	N/A	44	140	1,140	$150	$510.8K
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.	109	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.	40	150	1,340	$80	$395.9K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	155	180	1,290	$50	$276.1K

Showing 1–10 of 83

Related Providers

Other providers that share a Tax Identification Number (TIN) with Iredell Memorial Hospital, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rocco Tritico	NC	Specialist	$172.1K	$0
Augustine Obi	NC	Endocrinology, Diabetes & Metabolism Physician	$135.2K	$0

Nearby Providers

Other providers in the same ZIP code as Iredell Memorial Hospital, Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wake Forest Emergency Providers	NC	Multi-Specialty Clinic/Center	$0	$48.7M
Barium Springs Home For Children	NC	Foster Care Agency	$0	$19.3M
Easter Seals Ucp North Carolina & Virginia, Inc.	NC	Community/Behavioral Health Agency	$0	$10.6M
Strategic Interventions, LLC	NC	Community/Behavioral Health Agency	$0	$7.9M
County Of Iredell	NC	Land Ambulance	$2M	$4.9M
Duncan Mccall	NC	Rheumatology Physician	$478.2K	$0
Naveed Rajper	NC	Interventional Cardiology Physician	$231K	$5.9K
Ashma Davidson	NC	Primary Podiatric Medicine Podiatrist	$235K	$0
Jips Zachariah	NC	Interventional Cardiology Physician	$219.7K	$0
William White	NC	Internal Medicine Physician	$192.4K	$0

Iredell Memorial Hospital, Incorporated — Billing Profile & Reimbursement Data

Sign up for Iredell Memorial Hospital, Incorporated — Billing Profile & Reimbursement Data policy alerts

Iredell Memorial Hospital, Incorporated — Billing Profile & Reimbursement Data

Sign up for Iredell Memorial Hospital, Incorporated — 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