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.

Vidant Medical Group LLC (NPI 1477648731)

Key Findings

Field	Value
Entity Type	Organization
Organization	Vidant Medical Group LLC
Address	2100 Stantonsburg Rd
City	Greenville
State	NC
ZIP	27834
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$78M
Medicare	$0

This provider effectively operates as a Medicaid-focused organization: there is no Medicare billing on file and lifetime Medicaid revenue totals $78M, so the business is functionally single-payer in the available data. Analysts should treat Medicaid as the dominant commercial footprint when modeling payer mix or negotiating with plans.

Revenue is highly concentrated in a small set of evaluation-and-management and miscellaneous medicine codes: the precomputed top three codes account for 50.3% of this provider's total Medicaid revenue. Those three are 99214 ($14.7M, 20.6%), 99199 ($12M, 16.8%), and 99213 ($9.2M, 12.8%), indicating a heavy dependence on a few high-volume code groups.

The code mix indicates a broad ambulatory and acute-care scope: very large volumes of outpatient E/M codes (99214, 99213, 99203, 99204) paired with substantial emergency department visits (99284, 99283, 99285) and inpatient subsequent/initial care (99232, 99233, 99223, 99239) suggest integrated clinic, ED, and inpatient services rather than a narrow specialty practice. This pattern is consistent with the listed taxonomy of Multi-Specialty Clinic/Center and implies operational coverage across ambulatory, ED, and inpatient settings.

Competitive standing in-state is dominant on many high-revenue codes: 99214 ranks #2 of 4404 providers (100th percentile; extreme outlier) and 99199 ranks #9 of 2853 providers (100th percentile; extreme outlier), while several inpatient/critical-care codes (99233, 99223, 99291, 99239) rank #1 of their peer groups (100th percentile; extreme outlier). These rank/percentile signals identify the provider as a major statewide volume leader for multiple core service lines and an outlier relative to typical state providers.

The provider’s procedural and ancillary mix shows breadth beyond basic E/M: cardiology imaging (93306, $1M), ECG interpretation (93010, $477.8K), surgical pathology (88305, $355K), and preventive/pediatric well visits (99391/99392/99393/99394) are all material contributors. High volumes of vaccine administration (90471, 90472) and echocardiography indicate routine preventive and diagnostic service capacity alongside acute care.

Multiple codes are explicitly flagged as statistical outliers or notably above typical state volume, which reinforces the provider’s role as a large regional hub: examples include numerous “extreme outlier” designations (e.g., 99214, 99199, 99213, 99233, 99223, 99291, 99239) as well as several codes described as “notably above typical” (e.g., 99284, 0241U, 99391). These labels suggest unusually high billing volume relative to in-state peers and should be considered when benchmarking utilization or setting expected cost-per-member metrics.

The very large claim counts behind some entries underscore scale: 99214 has 342.1K claims and 99199 has 1.7M claims, both with average paid-per-claim figures shown in the record. For operational planning, capacity assumptions should account for high visit throughput and an administrative billing footprint that handles millions of Medicaid claims.

The provider has an established tenure, with the NPI enumerated on 2006-10-04 (~20 years ago), supporting the interpretation that these utilization patterns reflect sustained, long-term operations rather than a short-lived reporting artifact. Combined with the Multi-Specialty Clinic/Center taxonomy and the Greenville, NC location, the dataset is consistent with a long-standing regional healthcare hub with substantial Medicaid dependence.

Medicaid: Complete Services Breakdown

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

366 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	342,080	$40	$14.7M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	1,717,590	$10	$12M
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…	241,210	$40	$9.2M
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.	119,820	$60	$7.7M
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.	109,460	$40	$4.6M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	119,610	$30	$3.5M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90,930	$40	$3.5M
0241U	N/A	15,710	$120	$1.9M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20,970	$70	$1.5M
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…	16,890	$90	$1.4M

Showing 1–10 of 366

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

Vidant Medical Group LLC — 21 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

366 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.	11	330	6,130	$130	$2.7M
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.	6	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.	97	280	2,690	$130	$1.6M
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.	515	520	2,870	$70	$721.7K
0241U	N/A	7	140	1,140	$150	$510.8K
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…	50	80	750	$120	$449.7K
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.	144	160	490	$100	$435.6K
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.	5	150	1,340	$80	$395.9K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	75	90	250	$110	$352.3K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	15	50	70	$1,220	$332.9K

Showing 1–10 of 366

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Eastern Radiologists Inc	NC	Diagnostic Radiology Physician	$0	$14.3M
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 - Chowan Inc	NC	Critical Access Hospital	$0	$9.5M
Kettering Independent Medical Group Inc	OH	Orthopaedic Surgery Physician	$0	$8.4M
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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paradigm, Inc.	NC	Community/Behavioral Health Agency	$0	$37.8M
Better Connections, Inc.	NC	Community/Behavioral Health Agency	$0	$25.4M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$25M
East Carolina University	NC	Pediatrics Physician	$0	$22.8M
Pediatric Services Of America, LLC	NC	Nursing Care Agency	$0	$15.6M
East Carolina University	NC	Obstetrics & Gynecology Physician	$0	$12.3M
Greenville Pediatric Services, Inc	NC	Pediatrics Physician	$0	$10.9M
Health-pro Homecare Services, Inc.	NC	Home Health Agency	$0	$10M
East Carolina University	NC	Family Medicine Physician	$0	$9.5M
Idella's Care Homes LLC	NC	Community/Behavioral Health Agency	$0	$8.3M

Vidant Medical Group LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References