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.

Southeastern Regional Medical Center (NPI 1427030774)

Southeastern Regional Medical Center is a general acute care hospital provider located in Lumberton, North Carolina. This profile covers 0 Medicare and 266 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	Southeastern Regional Medical Center
Address	300 W 27th St
City	Lumberton
State	NC
ZIP	28358
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 14, 2005

Payer Source	Total Paid
Medicaid	$28.8M
Medicare	$0

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

266 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.	59,560	$70	$4.3M
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.	26,510	$120	$3.1M
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.	17,620	$140	$2.5M
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.	21,580	$60	$1.4M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	26,920	$30	$888.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	26,920	$30	$861.3K
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.	100,440	$10	$803.5K
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…	125,250	$10	$751.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	17,500	$40	$735.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	17,710	$40	$690.8K

Showing 1–10 of 266

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

Southeastern Regional Medical Center — 9 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

266 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.	72	330	6,130	$130	$2.7M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	17	30	170	$260	$2.6M
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…	74	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.	27	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.	54	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…	18	80	420	$30	$1.2M
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	21	40	220	$60	$920.5K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	16	70	280	$20	$896.7K
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.	39	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	17	90	4,210	$30	$676.8K

Showing 1–10 of 266

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bamdad Farhad	FL	Family Medicine Physician	$2M	$0
Sanjay Garg	NC	Rheumatology Physician	$1.7M	$0
Jeffrey Jones	NC	Diagnostic Radiology Physician	$697.7K	$0
Sean Whalen	NY	Nuclear Medicine Physician	$555.5K	$0
Eric Lescault	NC	Orthopaedic Surgery Physician	$399.1K	$0
Manesh Thomas	NC	Interventional Cardiology Physician	$305.8K	$0
Sanjay Patel	NC	Cardiovascular Disease Physician	$288.8K	$0
Xiuxian Zhu	NC	Cardiovascular Disease Physician	$195.3K	$0
Janet Harris-hicks	SC	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$159.8K	$0
Allan Andrews	NC	Gastroenterology Physician	$157K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Health Choice, Inc.	NC	Community/Behavioral Health Agency	$0	$93.3M
Children's Health Of Carolina, PA	NC	Pediatrics Physician	$0	$90.4M
A Primary Choice, Inc.	NC	In Home Supportive Care Agency	$0	$71.2M
Southeastern Integrated Care	NC	Family Medicine Physician	$0	$23.9M
Charles Graham	NC	Personal Care Attendant	$0	$23.9M
Speech Solutions Inc	NC	Speech-Language Pathologist	$0	$19.2M
Stephens Outreach Center, Inc	NC	Community/Behavioral Health Agency	$0	$17.4M
A Primary Choice	NC	In Home Supportive Care Agency	$0	$15.6M
Premier Behavioral Services Inc	NC	Community/Behavioral Health Agency	$0	$14.6M
Aaa Homecare	NC	Home Health Agency	$0	$12M

Southeastern Regional Medical Center — Billing Profile & Reimbursement Data

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Southeastern Regional Medical Center — 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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