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    OpenPayerNPI Medicare & MedicaidEast Carolina Health
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    East Carolina Health — Billing Profile & Reimbursement Data

    NPI 1467441394 · Ahoskie, NC · General Acute Care Hospital

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    East Carolina Health is a general acute care hospital provider located in Ahoskie, North Carolina. This profile covers 0 Medicare and 114 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEast Carolina Health
    Address500 Academy St S
    CityAhoskie
    StateNC
    ZIP27910
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedOctober 13, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    114 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The 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.21,750$120$2.5M
    99284The 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.11,720$200$2.3M
    99285The 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.4,530$170$751.5K
    0241UN/A2,080$160$341.3K
    99282The 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.2,570$90$238.7K
    G0463Hospital outpatient clinic visit for assessment and management of a patient20,660$10$206.6K
    93005The 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…5,460$40$196.7K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…3,800$50$190.2K
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…850$190$160.7K
    85025A 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…18,700$10$130.9K

    Showing 1–10 of 114

    • More pages

    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.

    Full comparison — all codes billed, vs. North Carolina median

    114 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.1243306,130$130$2.7M
    81220The 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…2630170$260$2.6M
    U0003Infectious 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…65160840$70$2.3M
    99283The 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.833206,160$120$2.1M
    99285The 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.1242802,690$130$1.6M
    86003The 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…2640220$60$920.5K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.2833601,830$40$819.8K
    G0463Hospital outpatient clinic visit for assessment and management of a patient19904,210$30$676.8K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.45190530$20$635.1K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.45190560$20$609.8K

    Showing 1–10 of 114

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with East Carolina Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vidant Medical Group LLCNCMulti-Specialty Clinic/Center$0$78M
    Pitt County Memorial Hospital, IncNCGeneral Acute Care Hospital$0$60.3M
    East Carolina UniversityNCInternal Medicine Physician$0$53.7M
    Pitt County Memorial Hospital IncNCAmbulance$0$15.6M
    Duplin General Hospital IncorporatedNCGeneral Acute Care Hospital$0$13.6M
    East Carolina Health - Heritage IncNCGeneral Acute Care Hospital$0$12.9M
    East Carolina Health - Chowan IncNCCritical Access Hospital$0$9.5M
    Surgicenter Of Eastern Carolina LLCNCAmbulatory Surgical Clinic/Center$2.6M$4.6M
    Susan AndracchiNCOphthalmology Physician$1.9M$0
    Maria PictonNCHematology & Oncology Physician$1.4M$0

    Nearby Providers

    Other providers in the same ZIP code as East Carolina Health, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trillium Health ResourcesNCCommunity/Behavioral Health Agency$0$23M
    Val's Home Health Care, Inc.NCHome Health Agency$0$17.8M
    All-american Home Care, LLCNCIn Home Supportive Care Agency$0$14.8M
    Home Life Care IncNCIn Home Supportive Care Agency$0$11.3M
    Ahoskie HouseNCAdult Care Home Facility$0$11.3M
    Rpa Healthcare, LLCNCAssisted Living Facility$0$8.9M
    Medex Medical Transport Service, IncNCLand Ambulance$2.9M$5.7M
    Willem, LLCNCLand Ambulance$447.1K$48.2K
    Matthew EdwardsNCOptometrist$287.4K$108.9K
    Timothy ChafinNCInterventional Pain Medicine Physician$155K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    East Carolina Health — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina