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.

Lincoln Pediatrics Clinic,pa (NPI 1477510659)

Field	Value
Entity Type	Organization
Organization	Lincoln Pediatrics Clinic,pa
Address	113 Doctors Park
City	Lincolnton
State	NC
ZIP	28092
Taxonomy	Specialist
NPI Enumerated	April 30, 2006

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

89 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	50,780	$50	$2.5M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	279,910	$10	$1.7M
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…	24,080	$70	$1.7M
0241U	N/A	9,050	$90	$778.4K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	4,580	$130	$600.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,160	$70	$486.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,730	$70	$451.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	5,830	$70	$408K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,080	$60	$389.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	18,010	$10	$252.1K

Showing 1–10 of 89

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

Lincoln Pediatrics Clinic,pa — 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

89 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	143	160	840	$70	$2.3M
0241U	N/A	17	140	1,140	$150	$510.8K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	117	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…	135	4,400	960	$60	$271.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	82	520	1,080	$80	$262.1K
U0005	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, cdc or non-cdc,…	118	130	890	$20	$259.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	71	550	970	$90	$258.9K
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…	62	4,130	670	$50	$219.9K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	2	60	110	$190	$187.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	43	590	490	$90	$179.8K

Showing 1–10 of 89

Nearby Providers

Other providers in the same ZIP code as Lincoln Pediatrics Clinic,pa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.7M
Sentry Drug Center 16 Inc	NC	Community/Retail Pharmacy	$32.3K	$14.2M
Phoenix Counseling Center	NC	Community/Behavioral Health Agency	$0	$8.2M
Lincoln County	NC	Ambulance	$1.2M	$2.6M
Sentry Drug Center 11	NC	Community/Retail Pharmacy	$120.7K	$3.9K
Mark Kiefer	NC	Family Medicine Physician	$102.1K	$0
Sunita Singh	NC	Internal Medicine Physician	$98K	$0
David Meyer	NC	Internal Medicine Physician	$95.5K	$0
Ira Friedlander	NC	Cardiovascular Disease Physician	$83.4K	$0
Julie Woodside	NC	Orthopaedic Hand Surgery Physician	$71.3K	$0

Lincoln Pediatrics Clinic,pa — Billing Profile & Reimbursement Data

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Lincoln Pediatrics Clinic,pa — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References