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.

East Carolina Health - Chowan Inc (NPI 1477541183)

Field	Value
Entity Type	Organization
Organization	East Carolina Health - Chowan Inc
Address	211 Virginia Rd
City	Edenton
State	NC
ZIP	27932
Taxonomy	Critical Access Hospital
NPI Enumerated	October 7, 2005

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

72 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.	18,860	$150	$2.8M
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.	9,050	$230	$2.1M
0225U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0225U for the…	4,110	$340	$1.4M
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.	2,750	$270	$734K
0241U	N/A	3,580	$160	$558.6K
93005	The 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…	4,540	$70	$331.6K
71045	In 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…	2,820	$80	$222.8K
99282	The 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.	1,280	$130	$159.8K
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…	1,220	$100	$119.3K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	4,220	$30	$113.8K

Showing 1–10 of 72

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

East Carolina Health - Chowan 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

72 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.	141	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…	102	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.	91	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.	140	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.	293	360	1,830	$40	$819.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	504	520	2,870	$70	$721.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	43	90	4,210	$30	$676.8K
0241U	N/A	43	140	1,140	$150	$510.8K
0225U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0225U for the…	2	10	270	$360	$436.1K
99282	The 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.	79	150	1,340	$80	$395.9K

Showing 1–10 of 72

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vidant Medical Group LLC	NC	Multi-Specialty Clinic/Center	$0	$78M
Pitt County Memorial Hospital, Inc	NC	General Acute Care Hospital	$0	$60.3M
East Carolina University	NC	Internal Medicine Physician	$0	$53.7M
Pitt County Memorial Hospital Inc	NC	Ambulance	$0	$15.6M
Duplin General Hospital Incorporated	NC	General Acute Care Hospital	$0	$13.6M
East Carolina Health - Heritage Inc	NC	General Acute Care Hospital	$0	$12.9M
East Carolina Health	NC	General Acute Care Hospital	$0	$8.2M
Surgicenter Of Eastern Carolina LLC	NC	Ambulatory Surgical Clinic/Center	$2.6M	$4.6M
Susan Andracchi	NC	Ophthalmology Physician	$1.9M	$0
Maria Picton	NC	Hematology & Oncology Physician	$1.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Life Care Inc	NC	In Home Supportive Care Agency	$0	$12.7M
County Of Chowan Office Of Accountant	NC	Land Ambulance	$300.7K	$474.7K
Mathijs Brentjens	NC	Dermatology Physician	$468.9K	$0
Jaffer Hussain	NC	Internal Medicine Physician	$321.4K	$0
Bryan Bunn	NC	Family Medicine Physician	$214.9K	$0
Jeffrey Severa	NC	Internal Medicine Physician	$191.9K	$0
Samuel Moskowitz	NC	Family Medicine Physician	$158K	$0
Joel Reynolds	NC	Urology Physician	$124K	$0
Paul Miller	NC	Chiropractor	$73.8K	$0
Percy Braswell	NC	Physician Assistant	$20.2K	$0

East Carolina Health - Chowan Inc — Billing Profile & Reimbursement Data

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East Carolina Health - Chowan 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

Related Providers

Nearby Providers

Frequently Asked Questions

References