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.

Fletcher Hospital Inc. (NPI 1427075027)

Fletcher Hospital Inc. is a rural acute care hospital provider located in Hendersonville, North Carolina. This profile covers 0 Medicare and 137 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	Fletcher Hospital Inc.
Address	100 Hospital Dr
City	Hendersonville
State	NC
ZIP	28792
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicaid	$12M
Medicare	$0

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

137 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.	13,860	$230	$3.1M
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.	16,940	$160	$2.6M
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.	4,250	$330	$1.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	48,290	$20	$1.1M
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…	3,790	$130	$485.5K
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.	430	$1,090	$470.7K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,740	$60	$377.6K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	3,260	$90	$287K
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…	5,980	$40	$245.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	3,300	$50	$151.8K

Showing 1–10 of 137

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

Fletcher Hospital Inc. — 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

137 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.	117	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…	80	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.	96	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.	128	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.	328	360	1,830	$40	$819.8K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	10	90	4,210	$30	$676.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	155	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.	157	190	560	$20	$609.8K
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…	22	80	750	$120	$449.7K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	49	100	400	$10	$440.2K

Showing 1–10 of 137

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Unity Hospital Of Rochester	NY	General Acute Care Hospital	$0	$55.3M
Acm Medical Laboratory Inc	NY	Clinical Medical Laboratory	$0	$40.9M
The Unity Hospital Of Rochester	NY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.8M
The Unity Hospital Of Rochester	NY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$28.3M
The Unity Hospital Of Rochester	NY	General Acute Care Hospital	$0	$25.9M
B & R Dental, LLC	CT	General Practice Dentistry	$0	$2.8M
Adrian Vazquez	NC	Rheumatology Physician	$1.7M	$0
Michael Lattanzi	TX	Hematology & Oncology Physician	$1.1M	$0
Louay Hanna	NC	Medical Oncology Physician	$1M	$0
Brian Taschner	FL	Cardiovascular Disease Physician	$680K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hendersonville Pediatrics, P.A.	NC	Specialist	$0	$24.4M
Blue Ridge Community Health Services, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$9.8M
Alan Verm	NC	Ophthalmology Physician	$459.7K	$0
Beverly Collins	NC	Gerontology Nurse Practitioner	$198.9K	$0
Publix North Carolina, LP	NC	Community/Retail Pharmacy	$182.5K	$0
Melisa Harrington	NC	Nephrology Physician	$159.9K	$0
Elizabeth Dray	NC	Urology Physician	$153.1K	$0
Marshall Ney	NC	Physical Medicine & Rehabilitation Physician	$124.2K	$0
Royce Bailey	NC	Internal Medicine Physician	$99.9K	$0
Aaron Brodsky	NC	Geriatric Psychiatry Physician	$91.1K	$0

Fletcher Hospital Inc. — Billing Profile & Reimbursement Data

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Fletcher Hospital Inc. — 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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