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.

County Of Durham Finance Dept (NPI 1457435349)

Field	Value
Entity Type	Organization
Organization	County Of Durham Finance Dept
Address	414 E Main St
City	Durham
State	NC
ZIP	27701
Taxonomy	State or Local Public Health Clinic/Center
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

113 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	769,810	$10	$3.8M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,670	$180	$484K
59426	This service is considered a mini global code for the provider who provides seven or more antepartum visits. This can happen when the patient transfers out of the practice prior to delivery or the…	600	$630	$372.5K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	6,000	$50	$269.8K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	7,140	$30	$185.6K
D0120	Periodic oral evaluation - established patient	5,970	$30	$167.1K
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…	2,210	$70	$163.2K
D1120	Prophylaxis–child	4,470	$30	$129.5K
D1351	Sealant - per tooth	7,430	$20	$126.4K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	6,950	$20	$125.1K

Showing 1–10 of 113

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

County Of Durham Finance Dept — 4 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

113 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	32	70	280	$20	$896.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	26	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.	27	190	560	$20	$609.8K
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…	22	100	400	$10	$440.2K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	33	50	410	$20	$431.4K
D2930	N/A	231	260	710	$140	$426.8K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	21	2,850	10,910	$10	$330.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,373	4,400	960	$60	$271.3K
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.	169	290	1,720	$10	$248.2K
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…	1,238	4,130	670	$50	$219.9K

Showing 1–10 of 113

Related Providers

Other providers that share a Tax Identification Number (TIN) with County Of Durham Finance Dept, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lincoln Community Health Center Incorporated	NC	Federally Qualified Health Center (FQHC)	$0	$18.1M
County Of Durham Finance Dept	NC	Land Ambulance	$2.4M	$11.3M
Charles Cooperberg	NC	Nephrology Physician	$155.9K	$0
Jacob Feigal	NC	Psychiatry Physician	$27.9K	$0
Holly Biola	NC	Family Medicine Physician	$2.5K	$0
Jamie Carter	NC	Addiction Medicine (Internal Medicine) Physician	$1.5K	$0
Cathleen Melton	NC	Internal Medicine Physician	$1.4K	$0
Faye Banks	NC	Internal Medicine Physician	$1000	$0
Virgil Mosu	NC	Family Nurse Practitioner	$380	$0

Nearby Providers

Other providers in the same ZIP code as County Of Durham Finance Dept, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scipher Medicine Corporation	NC	Clinical Medical Laboratory	$755.6K	$127K
Thomas Thomas	NC	Occupational Therapist	$154.7K	$0

County Of Durham Finance Dept — Billing Profile & Reimbursement Data

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County Of Durham Finance Dept — 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